SHANNON REGINA JACKSON

HOUMA, LA
NPI1851842843
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  AP09036)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: LA  AP09036)
Enumeration Date2016-10-14
Last Update Date2024-10-11
Business Address
Ms. SHANNON REGINA JACKSON NP-C
235 CIVIC CENTER BLVD
HOUMA, LA 70360-5937
Phone number: 985-879-3966
Mailing Address
Ms. SHANNON REGINA JACKSON NP-C
235 CIVIC CENTER BLVD
HOUMA, LA 70360-5937
Phone number: 985-879-3966