Keoshia Jackson-Green

NPI 1568204915 · on the registry since 2024 · sole proprietor

Practice

Address: 58608 Belleview Rd Ste B
Plaquemine, LA 70764
Phone: (504) 475-4388
Organisation at this address: Melior Inc
Abundance Of Life, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: 343900000X
343900000X
Also registered as: 172A00000X
332BX2000X
177F00000X
347B00000X
347C00000X
347E00000X
174200000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-06-22

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