Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SANDRA JACKSON
Active Sole ProprietorSANDRA JACKSON is a Home Health Aide healthcare provider located in SHREVEPORT, Louisiana. NPI 1003536707 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · SHREVEPORT, LA
Registration Details
- NPI Number
- 1003536707
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 1, 2022 (3.9931190358179 yrs)
- Last Updated
- Sep 1, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
4513 PINE KNOLL DRSHREVEPORT, LA, 711072605Browse LA providers · Browse ZIP 71107
- Phone
- 3186178095
- Primary Specialty
-
Home Health Aide
374U00000X
Other Home Health Aide Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| ARTERRO MOORE | — | 1508278334 |
| JOYCE PETERSON | — | 1003361437 |
| MR. ANTHONY DUFF SR. | — | 1073030250 |
| KENDRA FIRES | — | 1629587746 |
| ASHLEY OMEATTER WILLIAMS | — | 1366942070 |
| TAJUANIA SHANETTE BOONE | — | 1164055158 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.