Search › Louisiana › 101YM0800X
Kristie Jackson
NPI 1639629454 · on the registry since 2016
Practice
- Address
- 1644 Carter St
Suite 2
Vidalia, LA 71373 - Phone
- (318) 414-3065
- Fax
- (318) 414-3067
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Female
- Record last updated
- 2016-10-04
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