Whalio Doctors

NPI 1417628090

Charletta Williams Jackson, MACNA

Practitioner Nurse's Aide Baton Rouge, LA

Practice location

Address
9151 Interline Ave STE 5-B, Baton Rouge, LA 70809-1970
Phone
(225) 444-5096
Fax
(833) 926-1772

Registered specialties

Nurse's Aide Primary
Nursing Service Related Providers Taxonomy 376K00000X Licence 313120 (LA)

Registry record

NPI
1417628090
Entity type
Individual
Sex (as registered)
Female
NPI issued
23 Sep 2021
Record last updated
23 Sep 2021

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.