Jordan Jackson

NPI #1902382161 in Bunkie, Louisiana

Provider Information

NPI Number: 1902382161
Entity Type: Individual
Name: Jordan Jackson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Jul 11, 2018
Last Updated: Jul 11, 2018

Practice Location

Address: 109 CHEVY LN STE C
City: Bunkie
State: Louisiana
ZIP Code: 71322-1561
Phone: (318) 346-6542

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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