Jackson, Tenita

Jackson, Tenita is an sole proprietor health care provider with primary practice located at 100 Jerald Dr , Monroe LA 71203-6708. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Phlebotomy, which is considered as her primary health care specialty. Jackson, Tenita can be contacted via phone (318) 737-7079.

Contact Information

Primary practice address
100 Jerald Dr Monroe LA 71203-6708
Phone: (318) 737-7079
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Phlebotomy 246RP1900X

Profile Details

NPI number 1235407040
LBN Legal business name Jackson, Tenita
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2011
Last updated Oct 17th, 2012 - about 12 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.

Request for update

Popular Providers