Individual provider · Type 1 NPI
Phyllis ST Amant Jackson
Contractor · Baton Rouge, LA
Practice location
13317 South Choctaw Drive, Suite C3
Baton Rouge, LA 70815
Mailing address
7852 Phebus Drive
Baton Rouge, LA 70812-3144
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | None listed |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1104283340
Phyllis ST Amant Jackson's National Provider Identifier is 1104283340, issued on Jan 19, 2016. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 19, 2016.