What is Wanda Jackson's NPI number?

Wanda Jackson's National Provider Identifier (NPI) is 1043323504, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Wanda Jackson's specialty?

Wanda Jackson is listed in the NPPES registry with a primary specialty of Dental Hygienist (Dental Providers).

Where is Wanda Jackson located?

Wanda Jackson's practice location on file with NPPES is 510 E Stoner Ave, Shreveport, LA 71101-4243.

What is Wanda Jackson's phone number?

The practice phone number listed in the NPPES registry for Wanda Jackson is (318) 221-8411.

Is Wanda Jackson's NPI active?

Yes — Wanda Jackson's NPI (1043323504) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Wanda Jackson, RDH

NPI 1043323504 · Dental Hygienist · Shreveport, LA

Wanda Jackson, RDH is a Dental Hygienist provider in Shreveport, LA (NPI 1043323504).

Provider details

NPI number: 1043323504
Entity type: Individual
Primary specialty: Dental HygienistDental Providers
Credential: RDH
Sex: Female
Sole proprietor: No
License: 376 (LA)

Specialties & taxonomies

Dental HygienistPrimary124Q00000XLicense 376 (LA)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
20 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

510 E Stoner Ave

#160

Shreveport, LA 71101-4243

Phone: (318) 221-8411

Fax: (318) 841-4795

Street-level locationGet directions

More LA providers

Mailing address