Mr. Womble Jackson Jr.
Mr. Womble Jackson Jr. is a Non-emergency Medical Transport (VAN) in Ruston, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
2003 Franklin AveRuston, LA 71270-9661
Phone: (318) 331-3977
Fax: (318) 224-9056
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Non-emergency Medical Transport (VAN) | Taxonomy 343900000X |
Record details
| NPI number | 1740802123 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 8, 2020 |
| Last updated in NPPES | August 26, 2025 |
| Certification date | August 26, 2025 |
| Mailing address | 2003 Franklin Ave, Ruston, LA 71270-9661 |
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