| Erica B. Jackson, M.d., Llc | |
|
2002 20th St Suite A101 Kenner LA 70062-6289 | |
| (504) 305-4232 | |
| Not Available |
| Full Name | Erica B. Jackson, M.d., Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2002 20th St, Kenner, Louisiana |
| Authorized Official Name and Position | Erica Brown Jackson (OWNER) |
| Authorized Official Contact | 5043054232 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Erica B. Jackson, M.d., Llc 214 Laurel Oak Dr Saint Rose LA 70087-3241 Ph: (504) 717-5454 | Erica B. Jackson, M.d., Llc 2002 20th St Suite A101 Kenner LA 70062-6289 Ph: (504) 305-4232 |
| NPI Number | 1205279478 |
|---|---|
| Provider Enumeration Date | 04/08/2013 |
| Last Update Date | 04/08/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205279478 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD 200224 (Louisiana) | Primary |
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