Search › Louisiana › 171M00000X
Travion Jackson
NPI 1881339273 · on the registry since 2022 · sole proprietor
Practice
- Address
- 645 Highway 80 E
Monroe, LA 71203 - Phone
- (318) 343-8744
- Fax
- (318) 345-7123
- Organisation at this address
- Living Water Family Services
Living Water Family ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 58
Additional practice sites
- 1700 Lake St, Lake Providence, LA
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-04-20
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