Louella M Jackson in Lake Charles - Family
Louella M Jackson - NPI 1871630004
Louella M Jackson is a Family in Lake Charles, Louisiana. Louella M Jackson practices all healthcare services and medical treatments related to Family. The NPI Number for Louella M Jackson is 1871630004. The last update date is 2018-08-01.
Louella M Jackson's current location address is 2000 Opelousas St, Lake Charles, Louisiana. You can contact this provider via phone number 3374399983 and fax number 3374398898. The mailing address for Louella M Jackson is 2000 Opelousas St, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louella M Jackson |
|---|---|
| Address | 2000 Opelousas St, Lake Charles, Louisiana |
| Phone Number | 3374399983 |
| Fax Number | 3374398898 |
| Sole Proprietor | N |
| Credentials | FNPC |
NPI Number Detail
| NPI Number | 1871630004 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2018-08-01 |
Provider Mailing Address Detail
| Address | 2000 Opelousas St |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706012641 |
| Phone Number | 3374399983 |
| Fax Number | 3374398898 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | AP03007 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1691810 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Louella M Jackson by the Centers for Medicare & Medicaid Services (CMS)?
The Louella M Jackson has been assigned the NPI (National Provider Identifier) 1871630004. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Louella M Jackson is geographically located?
The Louella M Jackson is physically situated at the following location: 2000 Opelousas St, Lake Charles, LA, 706012641.
What is Louella M Jackson's area of expertise and its corresponding taxonomy classification?
The Louella M Jackson's field of specialization is Family, and it falls under the taxonomy code 363Lf0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1871630004 to Louella M Jackson?
The Centers for Medicare & Medicaid Services assigned the 1871630004 to Louella M Jackson on 2007-01-30.
When was the information regarding Louella M Jackson most recently updated?
The details pertaining to the Louella M Jackson, including its address, specialty, and other relevant information, were last refreshed on 2018-08-01.
NPI Number: 1235130048
Address: 1770 N Orange Grove Ave Ste 101, Pomona, CA