Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS JACKSON
Active Sole ProprietorTRAVIS JACKSON is a Case Manager healthcare provider located in TALLULAH, Louisiana. NPI 1720573678 is currently active in the NPPES registry. Verify at CMS.
Case Manager · TALLULAH, LA
Registration Details
- NPI Number
- 1720573678
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2018 (8.1298384179681 yrs)
- Last Updated
- Jun 23, 2018
- Sole Proprietor
- Yes
Practice Information
- Address
-
124 KIMBROUGH BLVD BLDG Q124TALLULAH, LA, 712824307Browse LA providers · Browse ZIP 71282
- Phone
- 3185744400
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in TALLULAH, LA
| Name | Credential | NPI |
|---|---|---|
| SIEASHA BARNES | — | 1821468885 |
| JAFFALYN WILLIAMS | — | 1376914671 |
| ALANTIS HOLT | — | 1114387297 |
| SONYA BLANSON | — | 1679933741 |
| LAKIMBERLY JOHNSON | — | 1396107157 |
| TANYA NELLER-SHORTER | — | 1619323714 |
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.