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Rob Jackson

Prosthetic/Orthotic Supplier in New Orleans, LA. Individual provider (NPI-1).

NPI number1710820105
StatusActive
Last updated in NPPESApr 11, 2026

Details

NPI
1710820105
Entity type
Individual (NPI-1)
Name
Rob Jackson
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 11, 2026
Certification date
Apr 11, 2026
Last updated
Apr 11, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
335E00000X Prosthetic/Orthotic Supplier––Yes

Practice location

2441 Chartres St
New Orleans, LA 70117-8606

Phone 769-244-8894

Mailing address

2441 Chartres St
New Orleans, LA 70117-8606

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