Search › Louisiana › 3747P1801X
Latavia Jackson
NPI 1700536380 · on the registry since 2022
Practice
- Address
- 264 Wichita St
Shreveport, LA 71101 - Phone
- (318) 254-3193
Registry record
- Primary taxonomy
- 3747P1801X
3747P1801X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-03-25
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