Naomi Jefferson Jackson
Individual provider Active NPI Case Manager/Care Coordinator · Lake Charles, LA
NPI 1164948899 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1164948899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1333 Common St
Lake Charles, LA 70601-5255 - Phone
- (337) 437-4014
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1333 Common St
Lake Charles, LA 70601-5255
Mailing address
2525 Youree Dr. Suite 110
Shreveport, LA 71104
Phone (318) 742-3408
Other names
- Mrs. Naomi Jefferson Matthews
Other providers in Lake Charles, LA
- Jada Jackson
- James Jackson
- Kelechi Ihuoma Jackson
- Kenneth Lee Jackson
- Louella M Jackson
- Shameka Jackson
- Jacob Dent DDS Dentists of Lake Charles a Proffessional Corporation
- Brenna Thomas Jacob
- Jennifer Colleen Flavin Jacobs
- Lauren Brooke Jacoby
All providers in Lake Charles, LA · Case Manager/Care Coordinator in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.