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NPI Code Detail

MEDICARE: MARGARET WESTBROOK JACKSON PA-C

MEDICARE: MARGARET WESTBROOK JACKSON PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1073493615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARGARET WESTBROOK JACKSON PA-C
Provider Business Mailing Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-246-9177
Fax Number : 225-246-9179
Provider Business Practice Location Address
First Line : 7373 PERKINS RD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-4373
Country : US
Telephone Number : 225-246-9177
Fax Number : 225-246-9179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/04/2025
Last Update Date : 12/11/2025

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