Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982194635 Individual Practitioner Female Practitioner

Wanda Marie Jackson

Licensed Practical Nurse • New Orleans, LA

Professional Overview & Biography Verified Profile Summary

Wanda Jackson is a registered healthcare professional specializing in Licensed Practical Nurse in New Orleans, LA. Practice services are available at 3100 GENERAL DE GAULLE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3100 General De Gaulle Dr

New Orleans, LA 701146632

Telephone 5046203130

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in New Orleans, LA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
77 Specialists

Practicing in New Orleans, LA (538 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License LA 292534

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Quiana Washington , LPN

Licensed Practical Nurse

NPI 1447740196

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 17, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 17, 2018

Registered at 3100 GENERAL DE GAULLE DR, NEW ORLEANS, LA 701146632 (Tel: 5046203130)

📍
Updated Business Mailing Address May 17, 2018

Registered at 312 E 3RD ST, BELLE CHASSE, LA 700372809 (Tel: 5043777242)

👤
Provider Name / Credentials Updated May 17, 2018

Recorded as WANDA JACKSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2018

Licensed Practical Nurse (License #292534 in LA)

🟢
Initial NPI Registration & Enumeration May 17, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982194635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2018
Last Update: May 17, 2018
Sole Proprietor: No

Mailing Address

312 E 3rd St

Belle Chasse, LA 700372809

Phone: 5043777242

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.