Jackson, Grace
Jackson, Grace is an sole proprietor health care provider with primary practice located at 340 Brakefield St , Slidell LA 70458-3620. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Jackson, Grace can be contacted via phone (985) 265-4032.Contact Information
Primary practice address
340 Brakefield St
Slidell LA 70458-3620
Phone: (985) 265-4032
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | 312612 | Louisiana |
Profile Details
| NPI number | 1912566886 |
|---|---|
| LBN Legal business name | Jackson, Grace |
| Credentials | CPM LM |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2019 |
| Last updated | Jun 11th, 2024 - about last year |
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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