KENANNA ANTOWAN JACKSON
NPI 1093449449
Home Health Aide in Shreveport, LA
About Kenanna Antowan Jackson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENANNA ANTOWAN JACKSON (NPI 1093449449) is an individual home health aide in Shreveport, Louisiana and active in the NPI registry since July 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 Kenanna Jackson's NPI number?
The NPI number for Kenanna Jackson is 1093449449. It was assigned to this individual provider in the NPPES registry on July 12, 2022.
Where is Kenanna Jackson located?
Kenanna Jackson practices at 433 Flournoy Lucas Rd Lot 18, Shreveport, LA 71106. The listed phone number is (318) 683-8356.
What is Kenanna 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 Kenanna Jackson was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kenanna Antowan Jackson · NPI 1093449449
Home Health Aide provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since July 12, 2022.
## Identity
- **NPI:** 1093449449 (Entity type: Individual)
- **Enumerated:** July 12, 2022
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 433 FLOURNOY LUCAS RD LOT 18, Shreveport, LA 71106-8113
- **Phone:** (318) 683-8356
## Record status
- **NPPES last updated:** July 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093449449) · Data from the CMS NPPES public registry.