Organization
JACKSON AND JACKSON EXPRESS TRANSPORT LLC
Active
Other names
Jackson and Jackson Express Transport LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JERKEISHA SHAUNTA FIELDS (OWNER)
(318) 519-7880
Entity
Organization
Contact information
Practice address
6611 QUILEN BLVD, SHREVEPORT, LA 71108-4421
(318) 519-7880
Mailing address
6611 QUILEN BLVD, SHREVEPORT, LA 71108-4421
(318) 519-7880
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
08/14/2021
Last updated
08/14/2021
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