Helene M Jackson
Individual provider Active NPI Homemaker · Lake Charles, LA
NPI 1205485265 · NPPES record last updated Sep 11, 2019
Key facts
- NPI
- 1205485265
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- Practice address
- 2001 Gieffers St
Lake Charles, LA 70601-2601 - Phone
- (337) 439-6981
- NPI assigned
- Sep 11, 2019
- 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 |
|---|---|---|---|---|
| Homemaker | 376J00000X | Yes |
Addresses
Primary practice location
2001 Gieffers St
Lake Charles, LA 70601-2601
Mailing address
2001 Gieffers St
Lake Charles, LA 70601-2601
Phone (337) 439-6981
Other providers in Lake Charles, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2019. 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.