Individual
FELICEON CHRISCHELL JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 GRAND CANYON DR, NEW ORLEANS, LA 70131-8608
(504) 215-0382
Mailing address
20 GRAND CANYON DR, NEW ORLEANS, LA 70131-8608
(504) 215-0382
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
008557011
LA
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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