Jackson, Altrecia L

Jackson, Altrecia L is an individual health care provider with primary practice located at 7209 Louise St , Shreveport LA 71108-4844. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Jackson, Altrecia L can be contacted via phone (318) 344-8365.

Contact Information

Primary practice address
7209 Louise St Shreveport LA 71108-4844
Phone: (318) 344-8365
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 880566 Louisiana
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1114459666
LBN Legal business name Jackson, Altrecia L
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2017
Last updated Jan 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114459666 NPPES
Louisiana Other 880566 LPN

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