MRS. SHELIA SHENELL JACKSON FNP NPI 1982956108

NPI Information

NPI: 1982956108
Provider Name: MRS. SHELIA SHENELL JACKSON, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
7505 PINES RD
STE 1250
SHREVEPORT, LA
ZIP 71129
Phone: (318) 686-3770
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MRS. Shelia Shenell Jackson, FNP is a family nurse practitioner in Shreveport, LA. MRS. Shelia Shenell Jackson, FNP NPI is 1982956108. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7505 PINES RD
STE 1250
SHREVEPORT, LA
ZIP 71129-935
Phone: (318) 686-3770
Fax: (318) 686-3838

The enumeration date for this NPI number is 10/11/2012 and was last updated on 10/11/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	TAP002970	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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