Fannie Jackson
Fannie Jackson is a Community Health Worker in Baton Rouge, Louisiana. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
5841 S Sherwood Forest BlvdBaton Rouge, LA 70816-6036
Phone: (225) 256-3556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X · Licence 253Z00000X |
|---|
Record details
| NPI number | 1659826774 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 18, 2016 |
| Last updated in NPPES | June 16, 2021 |
| Certification date | June 16, 2021 |
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