DESTINY JACKSON

Case Manager/Care Coordinator

Active Individual
NPI: 1942941844

Practice Address

9403 MANSFIELD RD
Shreveport, LA 71118

Phone: (318) 861-8938

Specialties

Specialty Code Primary License
Case Manager/Care Coordinator 171M00000X Yes -

Frequently Asked Questions

NPI 1942941844 is the National Provider Identifier for DESTINY JACKSON, a Case Manager/Care Coordinator provider located in Shreveport, LA. This NPI was enumerated on April 5, 2022.
DESTINY JACKSON practices at 9403 MANSFIELD RD, Shreveport, LA 71118.

Quick Facts

NPI
1942941844
Type
Individual
Enumerated
Apr 5, 2022
Last Updated
Apr 5, 2022

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