Search › Louisiana › 163W00000X
Jercia Jackson
NPI 1851222459 · on the registry since 2026 · sole proprietor
Practice
- Address
- 17759 Lake Azalea Dr
Baton Rouge, LA 70817 - Phone
- (225) 250-0494
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-05-25
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