Search › Louisiana › 101YM0800X
Brian Jackson
NPI 1346610011 · on the registry since 2015
Practice
- Address
- 3008 Conmar St
Shreveport, LA 71108 - Phone
- (318) 272-9721
- Fax
- (318) 675-0226
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Also registered as
- 171M00000X
- Sex
- Male
- Record last updated
- 2018-05-15
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana