Individual
RACHAEL MAYER JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
311 VETERANS BLVD STE B, DENHAM SPRINGS, LA 70726-4726
(225) 665-4554
(225) 665-6995
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 665-4554
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
331225
LA
208000000X
Pediatrics Physician
R8017
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2015
Last updated
03/14/2023
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