Tyesha Nicole Jackson
Tyesha Nicole Jackson is a Case Manager/Care Coordinator in Baton Rouge, Louisiana. Practices as a sole proprietor. Licensed in Louisiana.
- Licensed in
- LA
- In the registry since
- 2021
Practice location Address checks out
10530 Florida Blvd Apt 429Baton Rouge, LA 70815-1747
Phone: (225) 287-2072
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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 (LA) |
|---|
Record details
| NPI number | 1851960686 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | June 24, 2021 |
| Last updated in NPPES | June 24, 2021 |
| Certification date | June 24, 2021 |
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