NPI 1093449449
Kenanna Antowan Jackson
Practice location
- Address
- 433 Flournoy Lucas Rd Lot 18, Shreveport, LA 71106-8113
- Phone
- (318) 683-8356
Registered specialties
Home Health Aide
Primary
Registry record
- NPI
- 1093449449
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 12 Jul 2022
- Record last updated
- 12 Jul 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.