IndividualActive
Tenita Jackson
NPI 1235407040 · Phlebotomy Technician · Monroe, LA
Provider details
- NPI number
- 1235407040
- Entity type
- Individual
- Primary specialty
- Phlebotomy TechnicianTechnologists, Technicians & Other Technical Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
100 Jerald Dr
Monroe, LA 71203-6708
Phone: (318) 737-7079
Approximate (ZIP-level) locationGet directions
Mailing address
100 Jerald Dr
Monroe, LA 71203-6708
Registry dates
- Enumerated
- 2011-12-07
- Last updated
- 2012-10-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.