Search › Louisiana › 171M00000X
Chelsa Jackson
NPI 1619340981 · on the registry since 2015 · sole proprietor
Practice
- Address
- 2504 Ridge Lake Dr
Shreveport, LA 71109 - Phone
- (318) 518-1174
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-09-04
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