Individual
JAMIE LUNEAU JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20264 NEAL RD, LORANGER, LA 70446-3006
(225) 456-3665
Mailing address
20264 NEAL RD, LORANGER, LA 70446-3006
(225) 456-3665
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
229279
LA
Other
Enumeration date
03/13/2023
Last updated
06/01/2023
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