SHELIA SHENELL JACKSON

SHREVEPORT, LA
NPI1982956108
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  TAP002970)
Enumeration Date2012-10-11
Last Update Date2012-10-11
Business Address
Mrs. SHELIA SHENELL JACKSON FNP
7505 PINES RD STE 1250
SHREVEPORT, LA 71129-3935
Phone number: 318-686-3770
Mailing Address
Mrs. SHELIA SHENELL JACKSON FNP
7505 PINES RD STE 1250
SHREVEPORT, LA 71129-3935
Phone number: 318-686-3770
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