NPI 1912566886

Grace Jackson, CPMLM

Practitioner Midwife Slidell, LA

Practice location

Address: 340 Brakefield St, Slidell, LA 70458-3620
Phone: (985) 265-4032

Registered specialties

Midwife Primary

Other Service Providers Taxonomy 176B00000X Licence 312612 (LA)

Other Midwife providers in Louisiana →

Registry record

NPI: 1912566886
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jun 2019
Record last updated: 11 Jun 2024

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.