Chism, Jackquail

Chism, Jackquail is an individual health care provider with primary practice located at 2800 Youree Dr Ste 204 , Shreveport LA 71104-3668. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Chism, Jackquail can be contacted via phone (318) 585-0213.

Contact Information

Primary practice address
2800 Youree Dr Ste 204 Shreveport LA 71104-3668
Phone: (318) 585-0213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1740955988
LBN Legal business name Chism, Jackquail
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2021
Last updated Aug 10th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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