PHYLLIS ST AMANT JACKSON
NPI 1104283340
Contractor in Baton Rouge, LA

Active since January 19, 2016
13317 SOUTH CHOCTAW DRIVE, SUITE C3, BATON ROUGE, LA 70815(225) 364-6208 Get Directions Write a Review

NPPES record last updated: January 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Phyllis St Amant Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYLLIS ST AMANT JACKSON (NPI 1104283340) is an individual contractor provider in Baton Rouge, Louisiana and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1104283340
Entity TypeIndividualFemale
Primary Taxonomy171W00000X
Provider Legal NamePHYLLIS ST AMANT JACKSON
Location Address13317 SOUTH CHOCTAW DRIVE, SUITE C3Baton Rouge, LA 70815
Mailing Address7852 Phebus DriveBaton Rouge, LA 70812-3144 · (225) 364-6208
Sole ProprietorYes
Enumeration DateJanuary 19, 2016
NPI 1104283340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.
13317 SOUTH CHOCTAW DRIVE, Baton Rouge, LA 70815

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 Phyllis St Amant Jackson's NPI number?

The NPI number for Phyllis St Amant Jackson is 1104283340. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Phyllis St Amant Jackson located?

Phyllis St Amant Jackson practices at 13317 South Choctaw Drive Suite C3, Baton Rouge, LA 70815. The listed phone number is (225) 364-6208.

What is Phyllis St Amant Jackson's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Phyllis St Amant Jackson was last updated on January 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.