MRS. PATRICE JACKSON

Driver

Active Individual
NPI: 1952910846

Practice Address

7274 MODESTO AVE
Baton Rouge, LA 70811

Phone: (225) 288-7917

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 005562615 (LA)

Frequently Asked Questions

NPI 1952910846 is the National Provider Identifier for MRS. PATRICE JACKSON, a Driver provider located in Baton Rouge, LA. This NPI was enumerated on July 27, 2020.
MRS. PATRICE JACKSON practices at 7274 MODESTO AVE, Baton Rouge, LA 70811.

Quick Facts

NPI
1952910846
Type
Individual
Enumerated
Jul 27, 2020
Last Updated
Jul 27, 2020

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