Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS JACQUELINE LYNN JACKSON, PROVIDE CARE
Active Sole ProprietorMISS JACQUELINE LYNN JACKSON, PROVIDE CARE is a In Home Supportive Care Agency healthcare provider located in SHREVEPORT, Louisiana. NPI 1750895926 is currently active in the NPPES registry. Verify at CMS.
In Home Supportive Care Agency · SHREVEPORT, LA
Registration Details
- NPI Number
- 1750895926
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 27, 2017 (8.6836206191763 yrs)
- Last Updated
- Nov 27, 2017
- License
-
00294507 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1842 MURPHY STSHREVEPORT, LA, 711032919Browse LA providers · Browse ZIP 71103
- Phone
- 3188348136
- Primary Specialty
-
In Home Supportive Care Agency
253Z00000X
Other In Home Supportive Care Agency Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| EUGENE LEE | — | 1407232036 |
| JOICE ANN LISTER | — | 1316401177 |
| MRS. LATARSHA MORROW | RN, MSN | 1821606518 |
| JESSICA RAY | — | 1366250995 |
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.