NPI 1205485265

Helene M Jackson

Practitioner Homemaker Lake Charles, LA

Practice location

Address: 2001 Gieffers St, Lake Charles, LA 70601-2601
Phone: (337) 439-6981

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X

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Registry record

NPI: 1205485265
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Sep 2019
Record last updated: 11 Sep 2019

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.