NPI 1053803551

Pleshetta Dewan Jackson, FNP

Practitioner Family Nurse Practitioner Slidell, LA

Practice location

Address: 2750 Gause Blvd E, Slidell, LA 70461-4149
Phone: (985) 639-3777
Fax: (985) 661-3520
Mailing address: 1514 Jefferson Hwy, New Orleans, LA 70121-2429

Registered specialties

Family Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X Licence AP09969 (LA)

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Registry record

NPI: 1053803551
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 May 2018
Record last updated: 3 Sep 2024

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.