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Arlisa Jackson

NPI 1669107306 · on the registry since 2022 · sole proprietor

Practice

Address
7472 Callahan Dr
Denham Springs, LA 70726
Phone
(225) 347-7666
Organisation at this address
C&N On The Geaux, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-18

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