Search › Louisiana › 101YP2500X
Avis Jackson
NPI 1770115206 · on the registry since 2020 · sole proprietor
Practice
- Address
- 315 S College Rd
Lafayette, LA 70503 - Phone
- (337) 572-9844
- Organisation at this address
- Devin Dupre Llc
Blossom Therapy Llc
Life Changing Solutions, Llc
Life Changing Solutions, Llc
A Blessing Personal Home CareInferred from a shared address, not stated in the registry. - Clinicians at this address
- 83
Additional practice sites
- 28446 Gray Eagle Dr, Denham Springs, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YP2500X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-06-07
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