DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: JESSICA JACKSON

MEDICARE: JESSICA 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1871147199
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA JACKSON
Provider Business Mailing Address
First Line : 1000 CHINABERRY DR STE 900
Second Line :
City : BOSSIER CITY
State : LA
Zip : 71111-2455
Country : US
Telephone Number : 318-459-6795
Fax Number : 318-626-5429
Provider Business Practice Location Address
First Line : 305 E MISSISSIPPI AVE
Second Line :
City : RUSTON
State : LA
Zip : 71270-3905
Country : US
Telephone Number : 318-202-3706
Fax Number : 318-202-3707
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2019
Last Update Date : 02/05/2026

Similar Medicare Providers

1992538078 — MR. CLARENCE LEE CLAY II MS
Practice Location Address:
305 E MISSISSIPPI AVE
RUSTON, LA
71270-3905
Practice Phone: 318-202-3706
Practice Fax: 318-202-3707
1629529300 — JASON MORGAN
Practice Location Address:
305 E MISSISSIPPI AVE
RUSTON, LA
71270-3905
Practice Phone: 318-202-3706
Practice Fax: 318-202-3707
1467928846 — JANET RENEE ZOSS
Practice Location Address:
305 E MISSISSIPPI AVE
RUSTON, LA
71270-3905
Practice Phone: 318-202-3706
Practice Fax:
1801365887 — BRITTANY DANIELLE MCCARTHY LPC
Practice Location Address:
305 E MISSISSIPPI AVE STE 1
RUSTON, LA
71270-3905
Practice Phone: 318-202-3706
Practice Fax:
1568927622 — JAMEKIA GRAHAM
Practice Location Address:
305 E MISSISSIPPI AVE
RUSTON, LA
71270-3905
Practice Phone: 318-202-3706
Practice Fax:
1568028389 — KRISTIN MICHELLE RICARD
Practice Location Address:
305 E MISSISSIPPI AVE
RUSTON, LA
71270-3905
Practice Phone: 318-202-3076
Practice Fax:

Directions to “ JESSICA 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 © 2007-2026 (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.