MRS. PATRICE QUINETTE JACKSON (NPI# 1952910846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952910846 |
Entity Type | Individual |
Full Name | MRS. PATRICE QUINETTE JACKSON |
Practice Address |
7274 Modesto Ave Baton Rouge LA 70811-4427 |
Practice Telephone | 2252887917 |
Mailing Telephone | 2252887917 |
Enumeration Date | 2020-07-27 |
Last Update Date | 2020-07-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 172A00000X | Driver | 005562615 | LA | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346888542 | Patrice Lynette Jackson | Counselor | 340 Hospital Dr, Warrenton, VA 20186-3006 | 2019-12-18 |
Street Address |
7274 MODESTO AVE |
City | BATON ROUGE |
State | LA |
Zip Code | 70811-4427 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548825888 | North Baton Rouge Cancer Center, Inc | Radiologic Technologist | 4811 Harding Blvd, Baton Rouge, LA 70811 | 2019-05-02 |
1386138055 | Ohf Homehealth | Home Health | 5655 Peerless St, Baton Rouge, LA 70811 | 2018-06-18 |
1770012114 | Anthony G Jones | Counselor | 10002 Breeden Drive, Baton Rouge, LA 70811 | 2017-06-08 |
1447795737 | Sandrena Butler | Case Manager/Care Coordinator | 5958 Cadillac St Apt 11016, Baton Rouge, LA 70811 | 2016-12-22 |
1558710434 | Calvin Malveaux Sr. | Counselor | 10840 N Ridge Dr, Baton Rouge, LA 70811 | 2016-06-10 |
1083061816 | Marcus Lee | Case Manager/Care Coordinator | 6814 Angles Ave, Baton Rouge, LA 70811 | 2016-05-23 |
1801272604 | Tenina Hadley | Registered Nurse | 10809 N. Ridge Dr, Baton Rouge, LA 70811 | 2015-08-04 |
1174906960 | Yolanda Mccants | Case Manager/Care Coordinator | 11487 St.paul Ave, Baton Rouge, LA 70811 | 2015-06-30 |
1407245046 | Erica Pitcher Raby | Counselor | 10830 Clearview Ave, Baton Rouge, LA 70811 | 2015-01-20 |
1760808034 | Genita Moore Hunter | Social Worker | 7815 White Street, Baton Rouge, LA 70811 | 2014-03-11 |
Find all providers in zip 70811 |
Taxonomy Code | 172A00000X |
Grouping | Other Service Providers |
Classification | Driver |
A person employed to operate a motor vehicle as a carrier of persons or property. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134734999 | Antoinette Carter | Driver | 3931 Hillmont Dr, Baton Rouge, LA 70814-4708 | 2020-09-09 |
1730707670 | Monica Johnson | Driver | 10018 Sandhill Ct, Baton Rouge, LA 70809-5925 | 2020-07-07 |
1780216929 | Roderick Lee Edwards II | Driver | 5724 Benson Dr, Baton Rouge, LA 70812-2603 | 2020-02-05 |
1053957431 | Encore Transportation LLC | Driver | 12454 Windermere Oaks Ct, Baton Rouge, LA 70810-0910 | 2019-11-21 |
1346808953 | Alwonda Deshon Randolph | Driver | 9466 Balboa Dr, Baton Rouge, LA 70810-2315 | 2019-05-30 |
1982269882 | Delvin Coston | Driver | 4445 Noble Cane Dr, Baton Rouge, LA 70814-8042 | 2019-05-06 |
1720546112 | Noah Dewayne Johnson Jr. | Driver | 11707 Kingston Dr, Baton Rouge, LA 70807-2066 | 2019-03-05 |
1225594146 | Shonda Monique Davis | Driver | 12416 Excalibur Ave, Baton Rouge, LA 70816-2410 | 2019-02-15 |
1548724990 | Chauna H Jackson | Driver | 7200 Cypress Lakes Apartment Blvd Apt 601, Baton Rouge, LA 70809-5307 | 2019-01-29 |
1215401716 | Reginald Eugene Huff Sr. | Driver | 1724 General Mouton Ave, Baton Rouge, LA 70810-6817 | 2019-01-17 |
Find all providers in BATON ROUGE |
City | BATON ROUGE |
Zip Code | 70811 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.