Female

Summer Jackson

Case Manager/Care Coordinator in Bunkie, LA(View on Map)

Full Name

Summer Jackson

NPI Number

1194437020

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/22/2022

Specialties

(Taxonomies)

Code

171M00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1140 SHIRLEY RD
1140 SHIRLEY RD

City

Bunkie
Bunkie

State

LA
LA

Postal Code

71322-1545
71322-1545

Country

US
US

Telephone Number

(318) 346-8001
(318) 346-8001

Identifiers

Identifier

1544761
1679507412

Identifier State

LA
LA

Identifier Issuer

Unknown
OTHER

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/22/2022

Provider Address

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