Organization
ERICA B. JACKSON, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA BROWN JACKSON M.D. (OWNER)
(504) 305-4232
Entity
Organization
Contact information
Practice address
2002 20TH ST, SUITE A101, KENNER, LA 70062-6289
(504) 305-4232
Mailing address
214 LAUREL OAK DR, SAINT ROSE, LA 70087-3241
(504) 717-5454
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD 200224
LA
Other
Enumeration date
04/08/2013
Last updated
04/08/2013
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