Individual
DEMAYIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9124 MABLE DR, BATON ROUGE, LA 70811-2351
(225) 472-1723
Mailing address
9124 MABLE DR, BATON ROUGE, LA 70811-2351
(225) 472-1723
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
LA
Other
Enumeration date
02/10/2026
Last updated
02/10/2026
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