Search › Louisiana › 172A00000X
Shirell Jackson
NPI 1972203867 · on the registry since 2023 · sole proprietor
Practice
- Address
- 20181 Skinner Dr
Hammond, LA 70401 - Phone
- (985) 215-1538
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Also registered as
- 172A00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-03-08
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