JACKQUAIL CHISM
NPI 1740955988
Home Health Aide in Shreveport, LA
About Jackquail Chism NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACKQUAIL CHISM (NPI 1740955988) is an individual home health aide in Shreveport, Louisiana and active in the NPI registry since August 2021.
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 Jackquail Chism's NPI number?
The NPI number for Jackquail Chism is 1740955988. It was assigned to this individual provider in the NPPES registry on August 10, 2021.
Where is Jackquail Chism located?
Jackquail Chism practices at 2800 Youree Dr Ste 204, Shreveport, LA 71104. The listed phone number is (318) 585-0213.
What is Jackquail Chism'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 Jackquail Chism was last updated on August 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Jackquail Chism · NPI 1740955988
Home Health Aide provider in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since August 10, 2021.
## Identity
- **NPI:** 1740955988 (Entity type: Individual)
- **Enumerated:** August 10, 2021
- **Primary specialty:** Home Health Aide · taxonomy 374U00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2800 YOUREE DR STE 204, Shreveport, LA 71104-3668
- **Phone:** (318) 585-0213
## Record status
- **NPPES last updated:** August 10, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1740955988) · Data from the CMS NPPES public registry.