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

Mr. Johnathan Jackson

Individual provider Registered Nurse · NPI 1730041070

Mr. Johnathan Jackson is a Registered Nurse in Bossier City, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.

Licensed in
LA
In the registry since
2025

Practice location Address checks out

2001 Oxford Pl
Bossier City, LA 71111-5503
Phone: (318) 780-3367
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence RN152086 (LA)

Record details

NPI number1730041070
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 25, 2025
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address2001 Oxford Pl, Bossier City, LA 71111-5503

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