Search › Louisiana › 235Z00000X
Evian Jackson
NPI 1932682358 · on the registry since 2018
Practice
- Address
- 4055 Prescott Rd
Baton Rouge, LA 70805 - Phone
- (225) 372-2037
- Organisation at this address
- Health Care Centers In Schools
Democracy Prep Louisiana CharterInferred from a shared address, not stated in the registry.
Additional practice sites
- 36505 Oak Plz Ste B, Prairieville, LA
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Also registered as
- 390200000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-08
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