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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. GRACE JACKSON, CPM LM

Active Sole Proprietor

MRS. GRACE JACKSON, CPM LM is a Midwife healthcare provider located in SLIDELL, Louisiana. NPI 1912566886 is currently active in the NPPES registry. Verify at CMS.

Midwife · SLIDELL, LA

Registration Details

NPI Number
1912566886
Provider Type
Individual
Gender
Female
NPI Issued
Jun 13, 2019 (7.1391480234829 yrs)
Last Updated
Jun 11, 2024
License
312612 (LA)
Sole Proprietor
Yes

Practice Information

Address
340 BRAKEFIELD ST
SLIDELL, LA, 704583620
Browse LA providers · Browse ZIP 70458
Phone
9852654032
Primary Specialty
Midwife
176B00000X

Other Midwife Providers in SLIDELL, LA

Name Credential NPI
MRS. ASHLEY JOHNSON CPM LM 1710460597
DAZEARIA D NORMAN 1407539703
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.