Individual
NATALIE CELESTE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
500 W UNIVERSITY AVE, HAMMOND, LA 70401-1304
(985) 549-2000
Mailing address
916 W UNIVERSITY AVE, HAMMOND, LA 70401-1312
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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