Organization
MERCY PRIMARY CARE HOME VISITS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON JACKSON NURSE PRACTITIONER (OWNER)
(225) 200-3216
Entity
Organization
Contact information
Practice address
8519 PETTIT RD, BAKER, LA 70714-6425
(225) 200-3216
Mailing address
8519 PETTIT RD, BAKER, LA 70714-6425
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
LA
Other
Enumeration date
08/10/2017
Last updated
10/06/2020
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