Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEMETRIS JACKSON
ActiveDEMETRIS JACKSON is a Driver healthcare provider located in KENNER, Louisiana. NPI 1699342287 is currently active in the NPPES registry. Verify at CMS.
Driver · KENNER, LA
Registration Details
- NPI Number
- 1699342287
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2021 (5.1985609191444 yrs)
- Last Updated
- Jun 10, 2021
Practice Information
- Address
-
3406 E LOUISIANA STATE DRKENNER, LA, 700652524Browse LA providers · Browse ZIP 70065
- Phone
- 5043802792
- Primary Specialty
-
Driver
172A00000X
Other Driver Providers in KENNER, LA
| Name | Credential | NPI |
|---|---|---|
| NUTALIA RILEY | — | 1811523806 |
| RANDELL M MEYERS | — | 1346983384 |
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.