SANDRA JACKSON
NPI 1003536707
Home Health Aide in Shreveport, LA
About Sandra Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANDRA JACKSON (NPI 1003536707) is an individual home health aide in Shreveport, Louisiana and active in the NPI registry since September 2022.
NPPES Registry Identity
Specialties & Licenses
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Sandra Jackson's NPI number?
The NPI number for Sandra Jackson is 1003536707. It was assigned to this individual provider in the NPPES registry on September 1, 2022.
Where is Sandra Jackson located?
Sandra Jackson practices at 4513 Pine Knoll Dr, Shreveport, LA 71107. The listed phone number is (318) 617-8095.
What is Sandra Jackson's specialty?
The primary specialty registered for this NPI is Home Health Aide with taxonomy code 374U00000X.
When was this NPI record last updated?
The NPPES record for Sandra Jackson was last updated on September 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Sandra Jackson · NPI 1003536707
Home Health Aide provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since September 1, 2022.
## Identity
- **NPI:** 1003536707 (Entity type: Individual)
- **Enumerated:** September 1, 2022
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4513 PINE KNOLL DR, Shreveport, LA 71107-2605
- **Phone:** (318) 617-8095
## Record status
- **NPPES last updated:** September 1, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003536707) · Data from the CMS NPPES public registry.