MR. WOMBLE JACKSON JR.
NPI 1740802123
Counselor - Addiction (Substance Use Disorder) in Ruston, LA

Q: What is Womble Jackson's NPI number?

The NPI number for Womble Jackson is 1740802123. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Q: What is Womble Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Womble Jackson was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since May 08, 2020

2003 FRANKLIN AVE, RUSTON, LA 71270(318) 331-3977(318) 224-9056 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Mr. Womble Jackson Jr. NPPES

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

MR. WOMBLE JACKSON JR. (NPI 1740802123) is an individual addiction (substance use disorder) provider in Ruston, Louisiana and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1740802123

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. WOMBLE JACKSON JR.

Location Address2003 FRANKLIN AVERuston, LA 71270-9661

Mailing Address2003 Franklin AveRuston, LA 71270-9661 · (318) 331-3977 · Fax (318) 224-9056

Phone(318) 331-3977

Fax(318) 224-9056

Sole ProprietorYes

Enumeration DateMay 8, 2020

Last NPPES UpdateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1740802123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedNon-emergency Medical Transport (VAN)Taxonomy 343900000X

2003 FRANKLIN AVE, Ruston, LA 71270

Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BUDDY DRIVERS LLC

Non-emergency Medical Transport (VAN)

2003 FRANKLIN AVE
RUSTON, LA 71270

Lincoln Parish (318) 331-3977

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 Womble Jackson's NPI number?

The NPI number for Womble Jackson is 1740802123. It was assigned to this individual provider in the NPPES registry on May 8, 2020.

Where is Womble Jackson located?

Womble Jackson practices at 2003 Franklin Ave, Ruston, LA 71270. The listed phone number is (318) 331-3977.

What is Womble Jackson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Womble Jackson was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.