Individual
MS. KESHONTHEL PATRICE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
121 FLORIDA ST, HAMMOND, LA 70403-3927
(985) 320-1887
Mailing address
121 FLORIDA ST, HAMMOND, LA 70403-3927
(985) 320-1887
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
—
LA
376K00000X
Nurse's Aide
Primary
128803
LA
Other
Enumeration date
11/04/2025
Last updated
11/04/2025
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