IndividualActive
Kadedra Jackson
NPI 1316664576 · Home Health Aide · Shreveport, LA
Provider details
- NPI number
- 1316664576
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
6201 Bert Kouns Industrial Loop Lot 656
Shreveport, LA 71129-5046
Phone: (318) 918-4987
Approximate (ZIP-level) locationGet directions
Mailing address
6201 Bert Kouns Industrial Loop Lot 656
Shreveport, LA 71129-5046
Registry dates
- Enumerated
- 2022-10-27
- Last updated
- 2022-10-27
- Certified
- 2022-10-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.