NPI 1669107306

Arlisa Jackson

Practitioner Driver Denham Springs, LA

Practice location

Address: 7472 Callahan Dr, Denham Springs, LA 70726-8944
Phone: (225) 347-7666

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X

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Registry record

NPI: 1669107306
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Jul 2022
Record last updated: 18 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.