IndividualActive
Jackquail Chism
NPI 1740955988 · Home Health Aide · Shreveport, LA
Provider details
- NPI number
- 1740955988
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
2800 Youree Dr Ste 204
Shreveport, LA 71104-3668
Phone: (318) 585-0213
Approximate (ZIP-level) locationGet directions
Mailing address
7300 W Canal Blvd
Shreveport, LA 71108-4914
Registry dates
- Enumerated
- 2021-08-10
- Last updated
- 2021-08-10
- Certified
- 2021-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.