RACINE DOMINIQUE JACKSON

GONZALES, LA
NPI1073216719
Former NameRACINE DOMINIQUE CUNNINGHAM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  229255)
Enumeration Date2023-03-22
Last Update Date2023-03-22
Business Address
RACINE DOMINIQUE JACKSON NP
2525 W ORICE ROTH RD APT 1510
GONZALES, LA 70737-5336
Phone number: 225-348-3997
Mailing Address
RACINE DOMINIQUE JACKSON NP
2525 W ORICE ROTH RD APT 1510
GONZALES, LA 70737-5336
Phone number: 225-348-3997
Similar providers in Gonzales, LA
DIVERSIFIED MEDICAL SERVICES, LLC
RACHEL ANN METZ
HEATHER ELIZABETH HYMEL
MARCUS R. ROVIRA
NATASHA B GRAVES
STEPHANIE COCHRAN WESELAK
ESSENTIAL MENTAL HEALTH AND WELLNESS, LLC
JORDAN BRIGNAC
KIMBERLEY HARRIS SMITH
ANGELA L SHAW