TREVIA M JACKSON

NEW ORLEANS, LA
NPI1053949750
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: LA  331554)
Additional Taxonomies207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: TX  U9978)
390200000X Student in an Organized Health Care Education/Training Program
207P00000X Emergency Medicine
(Licence: TX  U9978)
Enumeration Date2020-03-29
Last Update Date2024-06-12
Business Address
Miss TREVIA M JACKSON
2000 CANAL ST # D&T2720
NEW ORLEANS, LA 70112-3018
Phone number: 504-702-2287
Mailing Address
Miss TREVIA M JACKSON
1501 RED RIVER ST FL 2
AUSTIN, TX 78712-1845
Phone number: 512-495-5555