Jackson, Sherida L

Jackson, Sherida L is an individual health care provider with primary practice located at 3909 Lapalco Blvd Ste 200, Harvey LA 70058-2302. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Jackson, Sherida L can be contacted via phone (504) 349-6900.

Contact Information

Primary practice address
3909 Lapalco Blvd Ste 200 Harvey LA 70058-2302
Phone: (504) 349-6900
Fax: (504) 340-4305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP05608 Louisiana

Profile Details

NPI number 1477781201
LBN Legal business name Jackson, Sherida L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2009
Last updated Nov 28th, 2011 - about 14 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 1477781201 NPPES
Louisiana Other AP05608 LICENSE

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