Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. WANDA KAY JACKSON, RDH
ActiveDental Hygienist · SHREVEPORT, LA
Registration Details
- NPI Number
- 1043323504
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2006 (19.687429032166 yrs)
- Last Updated
- Jul 8, 2007
- License
-
376 (LA)
Practice Information
- Address
-
510 E STONER AVE#160SHREVEPORT, LA, 711014243Browse LA providers · Browse ZIP 71101
- Phone
- 3182218411
- Fax
- 3188414795
- Primary Specialty
-
Dental Hygienist
124Q00000X
Other Dental Hygienist Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. PATRICIA LITTLE | — | 1609022482 |
| ALLYSON L HARDAWAY | RDH | 1083296107 |
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.