person
Mrs. Shanda Jackson, FNP-C
Family Nurse Practitioner in Ferriday, Louisiana
NPI 1578846598

Shanda Jackson is a Family Nurse Practitioner based in Hammond, LA and is specialized in Family. Shanda Jackson practices in Ferriday, LA and has the professional credentials of FNP-C. The NPI Number for Shanda Jackson is 1578846598 and holds a License No. AP06672 (Louisiana).

The current practice location address for Shanda Jackson is 6569 Highway 84, Ferriday, LA and can be reached out via phone at 985-892-7070 and via fax at 855-821-4499. You can also correspond with Shanda Jackson through the mailing address at PO BOX 1089, HAMMOND, LA - 70404-1089 (mailing address contact number: 985-892-7070).

Location: 6569 Highway 84, Ferriday, LA, 70404-1089
person
Provider Profile Details
NPI Number
1578846598
Provider Name
Shanda Jackson
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
6569 Highway 84, Ferriday, LA, 70404-1089
Phone Number
985-892-7070
Fax Number
855-821-4499
Provider Enumeration Date
09/26/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09503346 05 MS
2319248 05 LA
F0711469 01 MS CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
6569 Highway 84
City
State
Zip
71334-4573
Phone Number
985-892-7070
Fax Number
855-821-4499
person
Provider Business Mailing Address Details
Address
Po Box 1089
City
State
Zip
70404-1089
Phone Number
985-892-7070
Fax Number
985-892-7017
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP06672 (Louisiana)
Definition
Definition to come...
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