Healthcare Provider Details

I. General information

NPI: 1518810548
Provider Name (Legal Business Name): JAMESHA MYSHEA HARDEN
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2026
Last Update Date: 02/18/2026
Certification Date: 02/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 LOUISIANA AVE
FERRIDAY LA
71334-2826
US

IV. Provider business mailing address

128 LOUISIANA AVE
FERRIDAY LA
71334-2826
US

V. Phone/Fax

Practice location:
  • Phone: 318-437-7157
  • Fax: 318-437-7158
Mailing address:
  • Phone: 318-437-7157
  • Fax: 318-437-7158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: