IndividualActive
Allison Jackson, PA-C
NPI 1063489003 · Physician Assistant · Greenwell Springs, LA
Provider details
- NPI number
- 1063489003
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- A10363 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
18901 Greenwell Springs Rd
Greenwell Springs, LA 70739-4827
Phone: (225) 924-9985
Fax: (225) 924-0884
Approximate (ZIP-level) locationGet directions
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2021-03-26
- Certified
- 2021-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.