Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TANYA JACKSON
Active Sole ProprietorTANYA JACKSON is a Customized Equipment (DME) healthcare provider located in MARRERO, Louisiana. NPI 1356431555 is currently active in the NPPES registry. Verify at CMS.
Customized Equipment (DME) · MARRERO, LA
Registration Details
- NPI Number
- 1356431555
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 16, 2006 (19.841751574605 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
7521 WESTBANK EXPY STE BMARRERO, LA, 700722300Browse LA providers · Browse ZIP 70072
- Phone
- 5043913191
- Fax
- 5043913193
- Primary Specialty
-
Customized Equipment (DME)
332BC3200X
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.