Gerard Jackson, OWNER
Gerard Jackson, OWNER is a Driver in Baton Rouge, Louisiana. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
3173 Washington AveBaton Rouge, LA 70802-2178
Phone: (225) 614-8960
Fax: (225) 341-6825
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1306546874 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OWNER |
| Sole proprietor | No |
| NPI enumerated | March 3, 2023 |
| Last updated in NPPES | March 3, 2023 |
| Certification date | March 3, 2023 |
| Mailing address | 3173 Washington Ave, Baton Rouge, LA 70802-2178 |
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