NPI 1235407040

Tenita Jackson

Practitioner Phlebotomy Technician Monroe, LA

Practice location

Address: 100 Jerald Dr, Monroe, LA 71203-6708
Phone: (318) 737-7079

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X

Other Technician, Pathology providers in Louisiana →

Registry record

NPI: 1235407040
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2011
Record last updated: 17 Oct 2012

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.