Individual
TYMESHIA MICHELLE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54023 WHITPALM DR # B, INDEPENDENCE, LA 70443-3123
(985) 306-2788
Mailing address
3014 DAUPHINE ST STE A, NEW ORLEANS, LA 70117-6755
(985) 306-2788
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
01030048
LA
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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