Dr. Gwendolyn Jackson's National Provider Identifier (NPI) Details
Dr. Gwendolyn Jackson, L.C.S.W.
NPI: 1417244286
Enumeration Date: 2011-06-30
Last updated: 2011-06-30
Sole Proprietor: YES
Status: active
Postal Address: PO BOX 538, BAKER, LA
Phone: 225-205-1581
Primary Practice Address: 2514 GATES CIR APT 12, BATON ROUGE, LA
Practice's phone: 225-205-1581