Individual
MR. DJUANNA SHERRELL JACKSON
Active
Individual
MR. DJUANNA SHERRELL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, AGACNP- BC
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
210109
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
210109
LA
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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