Individual
LAKAISHA JENE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, AGACNP
Contact information
Practice address
500 RUE DE LA VIE ST, BATON ROUGE, LA 70817-5127
(225) 910-0714
Mailing address
39190 WEST LN, PRAIRIEVILLE, LA 70769-4735
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
242785
LA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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