Search › Louisiana › 101YA0400X
Womble Jackson
NPI 1740802123 · on the registry since 2020 · sole proprietor
Practice
- Address
- 2003 Franklin Ave
Ruston, LA 71270 - Phone
- (318) 331-3977
- Fax
- (318) 224-9056
- Organisation at this address
- Buddy Drivers Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 343900000X
- Sex
- Male
- Record last updated
- 2025-08-26
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