FANNIE JACKSON

BATON ROUGE, LA
NPI1659826774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy172V00000X Community Health Worker
(Licence:   253Z00000X)
Enumeration Date2016-08-18
Last Update Date2021-06-16
Business Address
FANNIE JACKSON
5841 S SHERWOOD FOREST BLVD
BATON ROUGE, LA 70816-6036
Phone number: 225-256-3556
Mailing Address
FANNIE JACKSON
24710 HIGHWAY 1
PLAQUEMINE, LA 70764-4163
Phone number: 225-238-7661
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