NPI 1740159003

Keshonthel Patrice Jackson, CNA

Practitioner Nurse's Aide Hammond, LA

Practice location

Address: 121 Florida St, Hammond, LA 70403-3927
Phone: (985) 320-1887

Registered specialties (2)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence 128803 (LA)

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Doula

Nursing Service Related Providers Taxonomy 374J00000X

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Registry record

NPI: 1740159003
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Nov 2025
Record last updated: 4 Nov 2025

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.