Altrecia L Jackson, LPN is a
Case Manager/care Coordinator based in Shreveport, Louisiana. Altrecia L Jackson is licensed to practice in * (Not Available) (license number ) and her current practice location is
7209 Louise St, Shreveport, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 344-8365.
NPI number for Altrecia L Jackson is 1114459666 and her current mailing address is 3341 Youree Drive, Shreveport, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114459666.
Provider's Profile
Full Name | Altrecia L Jackson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 7209 Louise St, Shreveport, Louisiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114459666
- Provider Enumeration Date: 04/03/2017
- Last Update Date: 01/03/2019
Medical Identifiers
Medical identifiers for Altrecia L Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114459666 | NPI | - | NPPES |
880566 | Other | LA | LPN |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 880566 (Louisiana) | 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. Altrecia L 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 |
Altrecia L Jackson, LPN 3341 Youree Drive, Shreveport, LA 71105 Ph: (318) 344-8365 | Altrecia L Jackson, LPN 7209 Louise St, Shreveport, LA 71108-4844 Ph: (318) 344-8365 |
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