Individual provider · Type 1 NPI

Louella M. Jackson, FNPC

Family Nurse Practitioner · Lake Charles, LA

NPI number 1871630004 Active

Practice location

2000 Opelousas St
Lake Charles, LA 70601

Fax (337) 439-8898

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP03007 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1871630004

Louella M. Jackson, FNPC's National Provider Identifier is 1871630004, issued on Jan 30, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lake Charles, LA. The record was last updated on Aug 1, 2018.