IndividualActive
Amanda Jackson, MD
NPI 1710964564 · Pediatrics Physician · New Orleans, LA
Provider details
- NPI number
- 1710964564
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MD200328 (LA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
200 Henry Clay Ave
New Orleans, LA 70118-5798
Phone: (504) 896-9827
Approximate (ZIP-level) locationGet directions
Mailing address
1514 Jefferson Hwy
New Orleans, LA 70121
Registry dates
- Enumerated
- 2005-12-22
- Last updated
- 2019-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.