WANDA MARIE JACKSON
NPI 1982194635
Licensed Practical Nurse in New Orleans, LA

Active since May 17, 2018
3100 GENERAL DE GAULLE DR, NEW ORLEANS, LA 70114(504) 620-3130 Get Directions Write a Review

NPPES record last updated: May 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Wanda Marie Jackson NPPES

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

WANDA MARIE JACKSON (NPI 1982194635) is an individual licensed practical nurse in New Orleans, Louisiana, licensed in Louisiana (292534) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1982194635
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameWANDA MARIE JACKSON
Location Address3100 GENERAL DE GAULLE DRNew Orleans, LA 70114-6632
Mailing Address312 E 3rd StBelle Chasse, LA 70037-2809 · (504) 377-7242
Sole ProprietorNo
Enumeration DateMay 17, 2018
NPI 1982194635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in LA · 292534
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
3100 GENERAL DE GAULLE DR, New Orleans, LA 70114

Other Providers at the Same Location NPPES 3

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

Registered Nurse (Psychiatric/Mental Health)
3100 GENERAL DE GAULLE DR
NEW ORLEANS, LA 70114
Registered Nurse
3100 GENERAL DE GAULLE DR
NEW ORLEANS, LA 70114
Registered Nurse
3100 GENERAL DE GAULLE DR
NEW ORLEANS, LA 70114

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 Wanda Jackson's NPI number?

The NPI number for Wanda Jackson is 1982194635. It was assigned to this individual provider in the NPPES registry on May 17, 2018.

Where is Wanda Jackson located?

Wanda Jackson practices at 3100 General De Gaulle Dr, New Orleans, LA 70114. The listed phone number is (504) 620-3130.

What is Wanda Jackson's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Wanda Jackson was last updated on May 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.