Individual
ERIN JACKSON DICHARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2551 GREENWOOD RD STE 410, SHREVEPORT, LA 71103-3989
(318) 621-2929
(318) 621-2930
Mailing address
PO BOX 51008, SHREVEPORT, LA 71135-1008
(318) 798-9400
(318) 798-6785
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200154
LA
Other
Enumeration date
12/04/2007
Last updated
06/23/2021
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