Jameyelle C Jack

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

4544 W Central Ave
Zachary, LA 70791-3729

Phone

(225) 301-0081

NPI assigned

Jun 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1669103677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 HONEY LOCUST BLVD",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707912913",
            "telephone_number": "225-304-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4544 W CENTRAL AVE",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707913729",
            "telephone_number": "225-301-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACK",
        "first_name": "JAMEYELLE",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Robert Joseph Irwin III, PA-C
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• Courtney Noel Jackson Matthews, LMSW, LCSW
• Charnel Lazette Jackson, MA
• Jaydan Makayah Jackson
• Kendra H Jackson
• Ladonna Jackson

• Transportation Network Company in Zachary, LA
• Providers in Zachary, LA by specialty
• Transportation Network Company in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.