Individual provider · Type 1 NPI

Shanda Jackson, FNP-C

Family Nurse Practitioner · Ferriday, LA

NPI number 1578846598 Active

Practice location

6569 Highway 84
Ferriday, LA 71334-4573

Fax (855) 821-4499

Mailing address

PO Box 1089
Hammond, LA 70404-1089

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP06672 (LA)
Family Nurse Practitioner Primary 363LF0000XR855819 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1578846598

Shanda Jackson, FNP-C's National Provider Identifier is 1578846598, issued on Sep 26, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ferriday, LA. The record was last updated on Jun 30, 2022.