Search › Louisiana › 171M00000X
Shenquie Jackson
NPI 1598118705 · on the registry since 2016
Practice
- Address
- 1520 Thomas H Delpit Dr Ste 125
Baton Rouge, LA 70802 - Phone
- (225) 636-2395
- Fax
- (225) 960-2984
- Organisation at this address
- Full Spectrum Community Outreach
Renewal Counseling And Wellness Center, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-07-19
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