Individual provider · Type 1 NPI
Alyssa Jackson, FNP
Family Nurse Practitioner · Shreveport, LA
NPI number
1831078039
Active
Practice location
1541 Kings Hwy
Shreveport, LA 71103-4228
Mailing address
2851 Sunrise Pt
Haughton, LA 71037-9468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 231851 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1831078039
Alyssa Jackson, FNP's National Provider Identifier is 1831078039, issued on Sep 1, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Sep 1, 2025.