Individual
JENAY CHRISTINA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 SMART PL, SLIDELL, LA 70458-2040
(504) 241-6006
Mailing address
62273 N 12TH ST, SLIDELL, LA 70460-4503
(985) 685-8998
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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