NPI 1003536707

Sandra Jackson

Practitioner Home Health Aide Shreveport, LA

Practice location

Address: 4513 Pine Knoll Dr, Shreveport, LA 71107-2605
Phone: (318) 617-8095

Registered specialties

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

Other Home Health Aide providers in Louisiana →

Registry record

NPI: 1003536707
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Sep 2022
Record last updated: 1 Sep 2022

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.