Jackson, Courtney Carol
Jackson, Courtney Carol is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Jackson, Courtney Carol can be contacted via phone (504) 842-4000.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 20117 | Mississippi |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD.024754 | Louisiana |
Profile Details
| NPI number | 1588831952 |
|---|---|
| LBN Legal business name | Jackson, Courtney Carol |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 14th, 2008 |
| Last updated | Jun 5th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588831952 | NPPES |
| Mississippi | MEDICAID | 07858241 | |
| Mississippi | MEDICAID | 1579645 | |
| Mississippi | Other | P00618858 |
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