Miss Trevia M. Jackson - Emergency Medicine Physician in New Orleans, Louisiana | ProviderWire

Full Name

Miss Trevia M Jackson

NPI Number

1053949750

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/29/2020

Specialties

(Taxonomies)

Name

Emergency Medicine Physician

Pediatric Emergency Medicine (Emergency Medicine) Physician

Student in an Organized Health Care Education/Training Program

Code

207P00000X

207PP0204X

390200000X

Primary Taxonomy

Yes

No

No

Licenses

State

Louisiana

Texas

License Number

331554

U9978

Contact
Information

Purpose

Mailing

Location

Address

1501 RED RIVER ST FL 2

2000 CANAL ST # D&T2720

City

Austin

New Orleans

State

TX

LA

Postal Code

78712-1845

70112-3018

Country

US

US

Telephone Number

(512) 495-5555

(504) 702-2287

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

Data last updated by provider on 06/12/2024

Provider Address

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