Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Demetris Jackson

Individual provider Driver · NPI 1699342287

Demetris Jackson is a Driver in Kenner, Louisiana. Licensed in Louisiana. Registered with an NPI since 2021.

Licensed in
LA
In the registry since
2021
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Practice location Address checks out

3406 E Louisiana State Dr
Kenner, LA 70065-2524
Phone: (504) 380-2792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X (LA)

Record details

NPI number1699342287
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 10, 2021
Last updated in NPPESJune 10, 2021
Certification dateJune 10, 2021
Mailing address3406 E Louisiana State Dr, Kenner, LA 70065-2524

Other providers in Kenner