Individual
ALYSSA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 349-8585
Mailing address
2851 SUNRISE PT, HAUGHTON, LA 71037-9468
(318) 349-8585
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
231851
LA
Other
Enumeration date
09/01/2025
Last updated
09/01/2025
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