Jackson, Bianca

Jackson, Bianca is an sole proprietor health care provider with primary practice located at 1832 Stanocola Dr , Baton Rouge LA 70807-3047. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Jackson, Bianca can be contacted via phone (225) 614-6773.

Contact Information

Primary practice address
1832 Stanocola Dr Baton Rouge LA 70807-3047
Phone: (225) 614-6773
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1114306016
LBN Legal business name Jackson, Bianca
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2015
Last updated Jul 31st, 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.

Request for update

Popular Providers