Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REVIS JACKSON JR.
ActiveREVIS JACKSON JR. is a Case Manager healthcare provider located in HAMMOND, LOUISIANA. NPI 1356936504 is currently active in the NPPES registry. Verify at CMS.
Case Manager · HAMMOND, LOUISIANA
Registration Details
- NPI Number
- 1356936504
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 9, 2021 (5.4231602573016 yrs)
- Last Updated
- Mar 9, 2021
Practice Information
- Address
-
1102 COMMERCIAL DRIVEHAMMOND, LOUISIANA, 70403Browse LOUISIANA providers · Browse ZIP 70403
- Phone
- 9856623799
- Primary Specialty
-
Case Manager
171M00000X
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.