SANDRA JACKSON

Home Health Aide

Active Individual
NPI: 1003536707

Practice Address

4513 PINE KNOLL DR
Shreveport, LA 71107

Phone: (318) 617-8095

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1003536707 is the National Provider Identifier for SANDRA JACKSON, a Home Health Aide provider located in Shreveport, LA. This NPI was enumerated on September 1, 2022.
SANDRA JACKSON practices at 4513 PINE KNOLL DR, Shreveport, LA 71107.

Quick Facts

NPI
1003536707
Type
Individual
Enumerated
Sep 1, 2022
Last Updated
Sep 1, 2022

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