BRIAN JACKSON


Address: 3008 Conmar St, Shreveport, LA 71108
Phone: 3182729721

BRIAN JACKSON (NPI# 1346610011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346610011
Entity Type Individual
Full Name BRIAN JACKSON
Practice Address 3008 Conmar St
Shreveport
LA 71108
Mailing Address 3008 Conmar St
Shreveport
LA 71108-3604
Practice Telephone 3182729721
Practice Fax Number 3186750226
Mailing Telephone 3182729721
Mailing Fax Number 3186750226
Enumeration Date 2015-10-06
Last Update Date 2018-05-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers BRIAN JACKSON

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1083198659 Brian John Jackson Physician Assistant 391 Lee Blvd Ste 300, Lehigh Acres, FL 33936-4973 2018-09-19
1316482425 Brian Keith Jackson Community Health Worker 3714 Ruffin Rd, North Prince George, VA 23860-8629 2016-12-28
1255421855 Brian R Jackson Pathology 500 E Chipeta Way, Salt Lake City, UT 84108-1221 2006-10-13
1467497461 Brian D Jackson Allergy & Immunology 151 Harmony Park Circle, Hot Springs, AR 71913 2006-06-17
1689665408 Brian E Jackson Dentist 2775 Bishop Rd, Suite C, Willoughby Hills, OH 44092-2683 2005-11-01
1306842356 Brian D Jackson Podiatrist 1215 Hatcher Ln, Columbia, TN 38401-3531 2005-06-23
1477150738 Brian Leslie Jackson Registered Nurse 2751 Napa Valley Corporate Dr Bldg B, Napa, CA 94558-6216 2020-10-08
1558973115 Brian Lee Jackson Pharmacist 5780 Terry Rd, Byram, MS 39272-9745 2020-08-17
1174080030 Brian Jeffry Jackson Nurse Practitioner 2075 San Joaquin Hills Rd, Newport Beach, CA 92660-6505 2019-02-27
1457850067 Brian Skeene Jackson Recreation Therapist 75 New Scotland Ave, Albany, NY 12208-3409 2018-02-09

Office Location

Street Address 3008 CONMAR ST
City SHREVEPORT
State LA
Zip Code 71108

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528551140 Berkelia Player Case Manager/Care Coordinator 8108 Kingston Road Suite 101 B, Shreveport, LA 71108 2018-06-08
1548757305 Kenya Cawthorne Counselor 1520 Oakdale St, Shreveport, LA 71108 2018-04-17
1083112890 Chantanell Johns Case Manager/Care Coordinator 8101 Kingston Rd Ste 101b, Shreveport, LA 71108 2018-01-26
1912425935 Mildred Rivers Case Manager/Care Coordinator 4718 Hearne Ave, Shreveport, LA 71108 2017-08-30
1790205326 Britney Ashton Case Manager/Care Coordinator 1910 Hickory St, Shreveport, LA 71108 2017-06-24
1548792674 La'travia Jackson Case Manager/Care Coordinator 3430 Fernwood Ln, Shreveport, LA 71108 2017-03-29
1962941476 Johnetta Marshall Counselor 6901 Despot Rd, Shreveport, LA 71108 2017-02-16
1295283992 Shaun Cooper Case Manager/Care Coordinator 8824 Ruth Ave, Shreveport, LA 71108 2016-09-12
1508313735 Tara Black Counselor 7019 Louise St, Shreveport, LA 71108 2016-09-06
1659828960 Maranda Bolden Counselor 4906 Merlin Circle, Apt 4906, Shreveport, LA 71108 2016-09-02
Find all providers in zip 71108

Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639786502 Erik Rasmussen Counselor 670 Albemarle Dr Ste 700, Shreveport, LA 71106-5946 2020-09-25
1043842750 Creative Community Counseling LLC Counselor 2920 Knight St Ste 131, Shreveport, LA 71105-2412 2020-02-11
1477191591 Keona Chequise Kidd Counselor 2829 Dunlap St, Shreveport, LA 71103-2244 2019-12-19
1336781632 A New Beginning Counseling Services, LLC Counselor 9441 Oleander Dr, Shreveport, LA 71118-4008 2019-10-08
1841840311 Theresa Davidson Snow Counselor 820 Jordan St Ste 510w, Shreveport, LA 71101-4526 2019-09-17
1962057737 Mariana Penny Counselor 152 E College St, Shreveport, LA 71104-2510 2019-08-07
1528622818 Kendal Redel Counselor 10011 Hanover Dr, Shreveport, LA 71115-3430 2019-04-23
1962960351 Brandon Lewis-graham Counselor 3201 Knight St Apt 2206, Shreveport, LA 71105-2749 2019-03-05
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1659840312 Donna Brown Franks Counselor 236 E Gregg St, Shreveport, LA 71104-5119 2018-11-24
Find all providers in SHREVEPORT

Competitor

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City SHREVEPORT
Zip Code 71108

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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