Phyllis St Amant Jackson
Phyllis St Amant Jackson is a Contractor in Baton Rouge, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
13317 S Choctaw Dr Ste C3Baton Rouge, LA 70815
Phone: (225) 364-6208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Contractor (primary) | Taxonomy 171W00000X |
|---|
Record details
| NPI number | 1104283340 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 19, 2016 |
| Last updated in NPPES | January 19, 2016 |
| Mailing address | 7852 Phebus Drive, Baton Rouge, LA 70812-3144 |
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