Individual
JACKELINE AILEEN MERCADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9420 LINDALE AVE STE A, BATON ROUGE, LA 70815
(225) 442-3540
(224) 442-3546
Mailing address
14435 BRIGHTVIEW CT, BATON ROUGE, LA 70819-4006
(225) 810-6445
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/30/2018
Last updated
03/21/2019
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