Search › Louisiana › 101YM0800X
Modeacon Jackson
NPI 1891208823 · on the registry since 2017 · sole proprietor
Practice
- Address
- 1702 Bernstein Park Rd
Monroe, LA 71202 - Phone
- (318) 331-3440
Additional practice sites
- 1702 Bernstein Park Rd, Monroe, LA
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Sex
- Male
- Record last updated
- 2018-03-17
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