Search › Louisiana › 253Z00000X
Jacqueline Jackson, PROVIDE CARE
NPI 1750895926 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1842 Murphy St
Shreveport, LA 71103 - Phone
- (318) 834-8136
Registry record
- Primary taxonomy
- 253Z00000X
253Z00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2017-11-27
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