Search › Louisiana › 101YM0800X
Johnell Jackson
NPI 1528568672 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3501 Caesar Dr
New Orleans, LA 70114 - Phone
- (504) 505-8864
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2018-02-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana