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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARCKO JACKSON

Active Sole Proprietor

MARCKO JACKSON is a Bus healthcare provider located in LAFAYETTE, Louisiana. NPI 1093479297 is currently active in the NPPES registry. Verify at CMS.

Bus · LAFAYETTE, LA

Registration Details

NPI Number
1093479297
Provider Type
Individual
Gender
Male
NPI Issued
Oct 25, 2021 (4.6149021142276 yrs)
Last Updated
Oct 25, 2021
Sole Proprietor
Yes

Practice Information

Address
110 ELENORE ST
LAFAYETTE, LA, 705014236
Browse LA providers · Browse ZIP 70501
Phone
3372581813
Primary Specialty
Bus
343900000X

Other Bus Providers in LAFAYETTE, LA

Name Credential NPI
MICHAEL TODD MITCHELL 1225506652
CLEVELAND MARK AUZENNE JR. 1215544218
EUGENE COOK 1578161451
JENNIFER LANDRY 1699365270
TERRENCE J MOTTE 1891455986
KIZZY BREAUX 1669112850
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.