Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CARMEN JACKSON
Active Sole ProprietorCARMEN JACKSON is a Custodial Care Facility healthcare provider located in TERRYTOWN, Louisiana. NPI 1356733505 is currently active in the NPPES registry. Verify at CMS.
Custodial Care Facility · TERRYTOWN, LA
Registration Details
- NPI Number
- 1356733505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 25, 2015 (11.47528514202 yrs)
- Last Updated
- Feb 25, 2015
- Sole Proprietor
- Yes
Practice Information
- Address
-
1799 STUMPF BLVDTERRYTOWN, LA, 700563950Browse LA providers · Browse ZIP 70056
- Phone
- 5042271492
- Primary Specialty
-
Custodial Care Facility
311Z00000X
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.