MEDICARE: JOHNALYNN JACKSON

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1679087308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHNALYNN JACKSON

Provider Business Mailing Address
First Line	:	11760 S HARRELLS FERRY RD STE C
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2374
Country	:	US
Telephone Number	:	225-284-8671
Fax Number	:

Provider Business Practice Location Address
First Line	:	11760 S HARRELLS FERRY RD STE C
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70816-2374
Country	:	US
Telephone Number	:	225-284-8671
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2017
Last Update Date	:	11/16/2017

Similar Medicare Providers

1164515854 — DAREM MEDICAL LLC
Practice Location Address:

11760 S HARRELLS FERRY RD STE A
BATON ROUGE, LA
70816-2374

Practice Phone: 225-293-0491
Practice Fax:

1205018892 — DIVERSIFIED REHABILITATION SERVICE
Practice Location Address:

11760 S HARRELLS FERRY RD , STE G
BATON ROUGE, LA
70816-2374

Practice Phone: 225-756-2700
Practice Fax:

1609179852 — DIGITAL IMAGING SERVICES OF LOUISIANA, LLC
Practice Location Address:

2431 S ACADIAN THRUWAY STE 350
BATON ROUGE, LA
70808-2374

Practice Phone: 225-926-3391
Practice Fax: 225-926-3389

1851254783 — VICTORY HEALTH SOLUTION LLC
Practice Location Address:

2337 LAURELWOOD DR
BATON ROUGE, LA
70816-3045

Practice Phone: 225-888-4415
Practice Fax: 225-888-4415

1356205702 — GAKEVINANA SEABERRY
Practice Location Address:

11607 SOUTHFORK AVE BLDG B
BATON ROUGE, LA
70816-5220

Practice Phone: 888-880-9270
Practice Fax:

1922473099 — MYLECKA SHAY JEFFERSON LPC
Practice Location Address:

11616 SOUTHFORK AVE STE 403
BATON ROUGE, LA
70816-5241

Practice Phone: 225-261-7143
Practice Fax: 225-250-1026

Directions to “ JOHNALYNN JACKSON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.