Individual
DEONNA HAWKINS JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17616 HERITAGE ESTATES DR, BATON ROUGE, LA 70810-6579
(225) 266-3812
Mailing address
17616 HERITAGE ESTATES DR, BATON ROUGE, LA 70810-6579
(225) 266-3812
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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