Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHNATHAN JACKSON
Active Sole ProprietorMR. JOHNATHAN JACKSON is a Registered Nurse healthcare provider located in BOSSIER CITY, Louisiana. NPI 1730041070 is currently active in the NPPES registry. Verify at CMS.
Registered Nurse · BOSSIER CITY, LA
Registration Details
- NPI Number
- 1730041070
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 25, 2025 (0.75088432395846 yrs)
- Last Updated
- Nov 25, 2025
- License
-
RN152086 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2001 OXFORD PLBOSSIER CITY, LA, 711115503Browse LA providers · Browse ZIP 71111
- Phone
- 3187803367
- Primary Specialty
-
Registered Nurse
163W00000X
Other Registered Nurse Providers in BOSSIER CITY, LA
| Name | Credential | NPI |
|---|---|---|
| MS. PENELOPE ANN BRENNER | CRNA | 1568656015 |
| TINEY LATSON | RN | 1205076098 |
| MRS. JILL J VANCE | RN | 1871734475 |
| MRS. LAVONDA JACOBS | REGISTERED NURSE | 1992133417 |
| MRS. ANGELA HERRICK | RN | 1578956421 |
| DAPHANIE WILLIAMS | REGISTERED NURSE | 1689116584 |
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.