Individual
SHERIDA L JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3909 LAPALCO BLVD, STE 200, HARVEY, LA 70058-2302
(504) 349-6900
(504) 340-4305
Mailing address
3909 LAPALCO BLVD, STE 200, HARVEY, LA 70058-2302
(504) 349-6900
(504) 340-4305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP05608
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP05608
LICENSE
LA
Enumeration date
07/01/2009
Last updated
11/28/2011
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