Organization
HEALTHCARE DIMENSIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA JACKSON DNP (OWNER/NURSE PRACTITIONER)
(337) 678-1630
Entity
Organization
Contact information
Practice address
226 LOUISIANA AVE, OPELOUSAS, LA 70570-3346
(337) 678-1630
(337) 678-1635
Mailing address
226 LOUISIANA AVE, OPELOUSAS, LA 70570-3346
(337) 678-1630
(337) 678-1635
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563404
—
LA
Enumeration date
11/18/2013
Last updated
03/14/2014
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