Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TYMESHIA MICHELLE JACKSON
Active Sole ProprietorTYMESHIA MICHELLE JACKSON is a Van Provider healthcare provider located in INDEPENDENCE, Louisiana. NPI 1790649382 is currently active in the NPPES registry. Verify at CMS.
Van Provider · INDEPENDENCE, LA
Registration Details
- NPI Number
- 1790649382
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 10, 2025 (0.67401845192272 yrs)
- Last Updated
- Dec 10, 2025
- License
-
01030048 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
54023 WHITPALM DR # BINDEPENDENCE, LA, 704433123Browse LA providers · Browse ZIP 70443
- Phone
- 9853062788
- Primary Specialty
-
Van Provider
344600000X
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.