Jackson, Timothy James

Jackson, Timothy James is an individual health care provider with primary practice located at 155 Hospital Dr , Lafayette LA 70503-2852. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Jackson, Timothy James can be contacted via phone (337) 269-9777.

Contact Information

Primary practice address
155 Hospital Dr Lafayette LA 70503-2852
Phone: (337) 269-9777
Fax: (337) 269-0244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN 073450 Louisiana

Profile Details

NPI number 1144217969
LBN Legal business name Jackson, Timothy James
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jul 13th, 2026 - about 3 months 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 1144217969 NPPES
Louisiana MEDICAID 1949388

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