Miss. Jacqueline Lynn Jackson, PROVIDECARE
Miss. Jacqueline Lynn Jackson, PROVIDECARE is an In Home Supportive Care Agency in Shreveport, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2017
Practice location Address checks out
1842 Murphy StShreveport, LA 71103-2919
Phone: (318) 834-8136
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Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence 00294507 (LA) |
|---|
Record details
| NPI number | 1750895926 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PROVIDECARE |
| Sole proprietor | Yes |
| NPI enumerated | November 27, 2017 |
| Last updated in NPPES | November 27, 2017 |
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