NPI 1417628090
Charletta Williams Jackson, MACNA
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
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.