Jackson, John Kevin
Jackson, John Kevin is an sole proprietor health care provider with primary practice located at Va New Orleans Department Of Mental Health 2400 Canal Street, New Orleans LA 70119. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Jackson, John Kevin can be contacted via phone (504) 507-3380.Contact Information
Primary practice address
Va New Orleans Department Of Mental Health 2400 Canal Street
New Orleans LA 70119
Phone: (504) 507-3380
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | 020998 | Louisiana |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 020998 | Louisiana |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 020998 | Louisiana |
Profile Details
| NPI number | 1750347878 |
|---|---|
| LBN Legal business name | Jackson, John Kevin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750347878 | NPPES |
| Louisiana | MEDICAID | 1684201 |
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