Jackson, Trevia M

Jackson, Trevia M is an individual health care provider with primary practice located at 2000 Canal St # D&T2720 , New Orleans LA 70112-3018. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Jackson, Trevia M can be contacted via phone (504) 702-2287.

Contact Information

Primary practice address
2000 Canal St # D&T2720 New Orleans LA 70112-3018
Phone: (504) 702-2287
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 207PP0204X U9978 Texas
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X U9978 Texas
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 331554 Louisiana

Profile Details

NPI number 1053949750
LBN Legal business name Jackson, Trevia M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2020
Last updated Jun 12th, 2024 - about 2 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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