Reginald D Jackson
Reginald D Jackson is an Attendant Care Provider in Lafayette, Louisiana. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
515 S College RdLafayette, LA 70503-3352
Phone: (337) 269-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X |
|---|
Record details
| NPI number | 1558041491 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 24, 2023 |
| Last updated in NPPES | July 24, 2023 |
| Certification date | July 24, 2023 |
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