Raven Jackson, is a
Case Manager/care Coordinator based in Monroe, Louisiana. Raven Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
4951 Central Avenue, Monroe, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 340-1535.
NPI number for Raven Jackson is 1942745823 and her current mailing address is 850 Kaliste Saloom Rd Ste 117, Lafayette, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1942745823.
Healthcare Provider's Profile
Full Name | Raven Jackson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 4951 Central Avenue, Monroe, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1942745823
- Provider Enumeration Date: 12/30/2016
- Last Update Date: 06/08/2018
Medical Identifiers
Medical identifiers for Raven Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942745823 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Raven Jackson, 850 Kaliste Saloom Rd Ste 117, Lafayette, LA 70508-4230 Ph: (337) 234-7109 | Raven Jackson, 4951 Central Avenue, Monroe, LA 71203 Ph: (318) 340-1535 |
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