Individual
DR. PAMELA TAYLOR JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
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
363L00000X
Nurse Practitioner
AP03530
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP03530
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1563404
—
LA
01
—
4B540
MEDICARE PTAN
LA
Enumeration date
10/30/2006
Last updated
04/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us