Individual
DR. SARAH CENAC JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3525 PRYTANIA ST, SUITE 501, NEW ORLEANS, LA 70115-3500
(504) 895-3376
(504) 910-3350
Mailing address
3525 PRYTANIA ST, SUITE 501, NEW ORLEANS, LA 70115-3500
(504) 895-3376
(504) 910-3350
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
026193
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054691
—
LA
Enumeration date
06/06/2006
Last updated
06/14/2011
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