Jackson, Fannie
Jackson, Fannie is an individual health care provider with primary practice located at 5841 S Sherwood Forest Blvd , Baton Rouge LA 70816-6036. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Jackson, Fannie can be contacted via phone (225) 256-3556.Contact Information
Primary practice address
5841 S Sherwood Forest Blvd
Baton Rouge LA 70816-6036
Phone: (225) 256-3556
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X | 253Z00000X |
Profile Details
| NPI number | 1659826774 |
|---|---|
| LBN Legal business name | Jackson, Fannie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2016 |
| Last updated | Jun 16th, 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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