Individual
SHARON JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 BARATARIA BLVD, MARRERO, LA 70072-3769
(504) 340-6711
(504) 348-3935
Mailing address
1220 BARATARIA BLVD, MARRERO, LA 70072-3769
(504) 340-6711
(504) 348-3935
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09011
LA
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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