Jackson, Pamela Taylor

Jackson, Pamela Taylor is an sole proprietor health care provider with primary practice located at 226 Louisiana Ave , Opelousas LA 70570-3346. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Jackson, Pamela Taylor can be contacted via phone (337) 678-1630.

Contact Information

Primary practice address
226 Louisiana Ave Opelousas LA 70570-3346
Phone: (337) 678-1630
Fax: (337) 678-1635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP03530 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP03530 Louisiana

Profile Details

NPI number 1699851931
LBN Legal business name Jackson, Pamela Taylor
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 30th, 2006
Last updated Apr 10th, 2017 - about 9 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 1699851931 NPPES
Louisiana MEDICAID 1563404
Louisiana Other 4B540

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