Kenanna Antowan Jackson
Home Health Aide in Shreveport, LA. Individual provider (NPI-1).
NPI number1093449449
StatusActive
Last updated in NPPESJul 12, 2022
Details
- NPI
- 1093449449
- Entity type
- Individual (NPI-1)
- Name
- Kenanna Antowan Jackson
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 12, 2022
- Certification date
- Jul 12, 2022
- Last updated
- Jul 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
433 Flournoy Lucas Rd Lot 18Shreveport, LA 71106-8113
Phone 318-683-8356
Mailing address
433 Flournoy Lucas Rd Lot 18Shreveport, LA 71106-8113
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All 56 Home Health Aide providers in Shreveport · All 11,081 providers in Shreveport
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