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

MR. PATRICK LOUIS JACKSON SR.

Active Sole Proprietor

MR. PATRICK LOUIS JACKSON SR. is a Durable Medical Equipment & Medical Supplies healthcare provider located in PLAQUEMINE, Louisiana. NPI 1427273713 is currently active in the NPPES registry. Verify at CMS.

Durable Medical Equipment & Medical Supplies · PLAQUEMINE, LA

Registration Details

NPI Number: 1427273713
Provider Type: Individual
Gender: Male
NPI Issued: Apr 13, 2007 (19.30313963964 yrs)
Last Updated: Jul 8, 2007
License: 332B00000X (LA)
Sole Proprietor: Yes

Practice Information

Address: 58110 W W HARLEAUX ST

PLAQUEMINE, LA, 707643230
Browse LA providers · Browse ZIP 70764
Phone: 2253854251
Fax: 2253854251
Primary Specialty: Durable Medical Equipment & Medical Supplies
332B00000X

Other Durable Medical Equipment & Medical Supplies Providers in PLAQUEMINE, LA

Name	Credential	NPI
MRS. JUDY M SALVADRAS	N/A	1871809210

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.