Demetris Jackson is a Driver based in Kenner, LA. Demetris Jackson practices in Kenner, LA. The NPI Number for Demetris Jackson is 1699342287 and holds a License No. (Louisiana).
The current practice location address for Demetris Jackson is 3406 E Louisiana State Dr, Kenner, LA and can be reached out via phone at 504-380-2792.
Location: 3406 E Louisiana State Dr, Kenner, LA, 70065-2524
Provider Profile Details
NPI Number
1699342287
Provider Name
Demetris Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3406 E Louisiana State Dr, Kenner, LA, 70065-2524
Phone Number
504-380-2792
Fax Number
Provider Enumeration Date
06/10/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
3406 E Louisiana State Dr
City
State
Zip
70065-2524
Phone Number
504-380-2792
Fax Number
Provider Business Mailing Address Details
Address
3406 E Louisiana State Dr
City
State
Zip
70065-2524
Phone Number
504-380-2792
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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