NPI 1003300955

Carnette Jackson

Practitioner Case Manager/Care Coordinator Hammond, LA

Practice location

Address: 12561 Wardline Rd, Hammond, LA 70401-6212
Phone: (985) 551-5155
Mailing address: PO Box 2703, Hammond, LA 70404-2703

Registered specialties

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1003300955
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Jun 2018
Record last updated: 14 Jun 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.