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

Lazorria Nicole Jackson

Individual provider Case Manager/Care Coordinator · NPI 1881309151

Lazorria Nicole Jackson is a Case Manager/Care Coordinator in Lake Providence, Louisiana. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1700 Lake St
Lake Providence, LA 71254-5208
Phone: (318) 559-0551
Fax: (318) 559-0538
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1881309151
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 20, 2023
Last updated in NPPESDecember 24, 2024
Certification dateDecember 24, 2024
Mailing address1700 Lake St, Lake Providence, LA 71254-5208

Other providers in Lake Providence