SHIRELL JACKSON

Driver

Active Individual
NPI: 1972203867

Practice Address

20181 SKINNER DR
Hammond, LA 70401

Phone: (985) 215-1538

Specialties

Specialty Code Primary License
Driver 172A00000X Yes 007029882 (LA)

Frequently Asked Questions

NPI 1972203867 is the National Provider Identifier for SHIRELL JACKSON, a Driver provider located in Hammond, LA. This NPI was enumerated on March 8, 2023.
SHIRELL JACKSON practices at 20181 SKINNER DR, Hammond, LA 70401.

Quick Facts

NPI
1972203867
Type
Individual
Enumerated
Mar 8, 2023
Last Updated
Mar 8, 2023

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