Individual
GELINIA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2890 DOUGLAS DR, BOSSIER CITY, LA 71111-5806
(318) 742-6900
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09441
LA
363LF0000X
Family Nurse Practitioner
AP134443
TX
Other
Enumeration date
10/25/2017
Last updated
02/12/2025
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