KADEDRA JACKSON

Home Health Aide

Active Individual
NPI: 1316664576

Practice Address

6201 BERT KOUNS INDUSTRIAL LOOP LOT 656
Shreveport, LA 71129

Phone: (318) 918-4987

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X Yes -

Frequently Asked Questions

NPI 1316664576 is the National Provider Identifier for KADEDRA JACKSON, a Home Health Aide provider located in Shreveport, LA. This NPI was enumerated on October 27, 2022.
KADEDRA JACKSON practices at 6201 BERT KOUNS INDUSTRIAL LOOP LOT 656, Shreveport, LA 71129.

Quick Facts

NPI
1316664576
Type
Individual
Enumerated
Oct 27, 2022
Last Updated
Oct 27, 2022

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