Travis Jackson
Travis Jackson is a Case Manager/Care Coordinator in Tallulah, Louisiana. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
124 Kimbrough Blvd Bldg Q124Tallulah, LA 71282-4307
Phone: (318) 574-4400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1720573678 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2018 |
| Last updated in NPPES | June 23, 2018 |
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Kimberly Jackson
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Quakeitha Jackson
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