Search › Louisiana › 106S00000X
Ed Dacious Jackson
NPI 1700701158 · on the registry since 2026
Practice
- Address
- 11607 Southfork Ave Bldg B
Baton Rouge, LA 70816 - Phone
- (504) 308-1540
- Clinicians at this address
- 744
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Sex
- Female
- Record last updated
- 2026-08-13
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