person
Louella M Jackson, FNPC
Family Nurse Practitioner in Lake Charles, Louisiana
NPI 1871630004

Louella M Jackson is a Family Nurse Practitioner based in Lake Charles, LA and is specialized in Family. Louella M Jackson practices in Lake Charles, LA and has the professional credentials of FNPC. The NPI Number for Louella M Jackson is 1871630004 and holds a License No. AP03007 (Louisiana).

The current practice location address for Louella M Jackson is 2000 Opelousas St, Lake Charles, LA and can be reached out via phone at 337-439-9983 and via fax at 337-439-8898.

Location: 2000 Opelousas St, Lake Charles, LA, 70601-2641
person
Provider Profile Details
NPI Number
1871630004
Provider Name
Louella M Jackson
Credential
FNPC
Provider Entity Type
Individual
Gender
Female
Address
2000 Opelousas St, Lake Charles, LA, 70601-2641
Phone Number
337-439-9983
Fax Number
337-439-8898
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1691810 05 LA
institution
Provider Business Practice Location Address Details
Address
2000 Opelousas St
City
State
Zip
70601
Phone Number
337-439-9983
Fax Number
337-439-8898
person
Provider Business Mailing Address Details
Address
2000 Opelousas St
City
State
Zip
70601
Phone Number
337-439-9983
Fax Number
337-439-8898
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP03007 (Louisiana)
Definition
Definition to come...
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