Jackson and Jackson Express Transport LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

JACKSON AND JACKSON EXPRESS TRANSPORT LLC

Practice address

6611 Quilen Blvd
Shreveport, LA 71108-4421

Phone

(318) 519-7880

NPI assigned

Aug 14, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerkeisha Shaunta Fields

Title

Owner

Phone

(318) 519-7880

Specialties & licenses 1

Addresses

Other names 1

• Jackson and Jackson Express Transport LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628899200000",
    "number": "1497420053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6611 QUILEN BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711084421",
            "telephone_number": "318-519-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6611 QUILEN BLVD",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711084421",
            "telephone_number": "318-519-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON AND JACKSON EXPRESS TRANSPORT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-14",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "JERKEISHA",
        "authorized_official_middle_name": "SHAUNTA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-519-7880"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson and Jackson Express Transport LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• J Woodfin Wilson MD & Willis-Knighton Medical Center
• J. Gary Booker, MD, Apmc
• J&R Transport LLC
• Keshia Ashley Jabbar, LPC
• Jack Berg MD & Willis-Knighton Medical Center
• Tralais R Jackson-Tillman
• Shannon Denise Jackson-Williams, APRN, FNP-C
• Akee LJ Jackson, LCSW
• Altrecia L Jackson, LPN
• Alyssa Jackson, FNP

• Non-emergency Medical Transport (VAN) in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Non-emergency Medical Transport (VAN) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.