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Individual
BARTHOLOMEW ERIC JACKSON SR.
Active
Individual
BARTHOLOMEW ERIC JACKSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
220378
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
220378
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220378
PSYCHIATRY
LA
Enumeration date
01/12/2023
Last updated
03/07/2023
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