Individual
MS. CHRISTINA RENEE' JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104
(318) 742-3408
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/16/2017
Last updated
07/21/2022
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