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GWENN V JACKSON M.D., NPI 1578560850

Obstetrics & Gynecology in WEST MONROE, LA

Last Updated on : Jan 14,2022

GWENN V JACKSON M.D., NPI 1578560850

About GWENN V JACKSON (NPI 1578560850)


GWENN V JACKSON is an Obstetrics & Gynecology provider in WEST MONROE, United States. Her medical specialization is Obstetrics & Gynecology .

1578560850 is NPI number of GWENN V JACKSON.

GWENN V JACKSON's primary taxonomy code based on NPI Lookup is 207V00000X with license number 16703. This taxonomy code refers to Obstetrics & Gynecology.

GWENN V JACKSON has more than 16 years of experience.

GWENN V JACKSON current practice location address is 417 MCMILLAN RD, WEST MONROE, LA. GWENN V JACKSON can be reached out via phone at 318-322-7119 and via fax at 318-325-8475 .

You can also correspond with GWENN V JACKSON through mail at mailing address 312 GRAMMONT ST, MONROE, LA, United States. Mailing address contact number is 318-388-4030.

The enumeration date of GWENN V JACKSON is 01-Jul-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1578560850 NPI Information

Basic NPI information of GWENN V JACKSON (NPI 1578560850) is provided below.

Name GWENN V JACKSON
National Provider Id (NPI) 1578560850
Entity Type Individual
Gender F
Credential M.D.
Practice Address 417 MCMILLAN RD,
WEST MONROE, LA, United States
Practice Telephone 318-322-7119
Practice Fax Number 318-325-8475
Mailing Address 312 GRAMMONT ST , STE 300
MONROE, LA, United States
Mailing Telephone 318-388-4030
Mailing Fax Number 318-324-3334
Enumeration Date 01-Jul-2005
Last Updated Date 14-Jan-2022

GWENN V JACKSON (NPI 1578560850) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 207V00000X Obstetrics & Gynecology 16703 LA

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

GWENN V JACKSON (NPI 1578560850) Office Location

Office location of GWENN V JACKSON is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1669539730 JOHN LEON SNUGGS Dentist, Pediatric Dentistry 3809 WHITES FERRY RD,
WEST MONROE, LA, United States
01-Jan-2007
1568440394 HARRY W. DONIAS Thoracic Surgery (Cardiothoracic Vascular Surgery) 503 MCMILLAN RD,
WEST MONROE, LA, United States
03-Jan-2006
1528046356 DENNIS C. FISCHER Physician Assistant 407 BUNKER LN,
MONROE, LA, United States
03-Jan-2006
1023553815 TEDRICK GRAYSON Military Health Care Provider, Independent Duty Corpsman 152 TOSTON RD,
WEST MONROE, LA, United States
03-Jan-2017
1326511205 SHANNA CAPRICE LEE Speech-Language Pathologist, 1218 EUCLID ST NW APT B,
WASHINGTON, DC, United States
03-Jan-2019
1164579116 HOLLY JOINER Nurse Practitioner, Neonatal, Critical Care 104 WINTERPARK DR,
WEST MONROE, LA, United States
04-Jan-2007
1962868190 JEFFERY KENT Nurse Anesthetist, Certified Registered 18714 MARYLAND AVE,
IDA, LA, United States
04-Jan-2016
1457772774 LUKE JOSEPH HUNTER Podiatrist 2269 ARKANSAS RD, THE FOOT AND ANKLE CLINIC OF WEST MONROE
WEST MONROE, LA, United States
05-Jan-2014
1407363880 LADOLPHA PERSON HOPKINS Nurse Practitioner, Family 291 LAURELWOOD LN,
MONROE, LA, United States
07-Jan-2018
1790141604 DINA C LEWIS Counselor, Professional 702 S 5TH ST,
WEST MONROE, LA, United States
07-Jan-2016
1063697019 DETRIA S JENKINS Case Manager/Care Coordinator 130 DESIARD ST, SUITE 412
MONROE, LA, United States
08-Jan-2008
1083036107 KIMBERLY ANN PETERS Behavior Analyst 3602 CYPRESS ST STE D,
WEST MONROE, LA, United States
08-Jan-2014
1356739783 SETH RANDALL DEBRUHL Pharmacist 106 LAUREL ST,
WEST MONROE, LA, United States
08-Jan-2015
1386793370 SURGERY CENTER OF WEST MONROE, LLC Clinic/Center, Ambulatory Surgical 102 REGENCY PL,
WEST MONROE, LA, United States
09-Jan-2007
1356887558 DEJANEIRO DAVIS Counselor, Mental Health 1912 N 7TH ST, APT 1
WEST MONROE, LA, United States
11-Jan-2017
1114077898 ARLENE V LATHROP Dietitian, Registered 102 THOMAS RD, SUITE 106
WEST MONROE, LA, United States
12-Jan-2007
1518104439 MARK EDWARD BOERSMA Hospitalist 503 MCMILLAN RD,
WEST MONROE, LA, United States
14-Jan-2009
1902137946 MERRYVILLE REHABILITATION LIMITED PARTNERSHIP Skilled Nursing Facility 900 N BRYAN ST,
MERRYVILLE, LA, United States
14-Jan-2010
1336444744 ELAHI EYE CARE, INC. Eyewear Supplier (Equipment, not the service) 303 MCMILLAN RD,
WEST MONROE, LA, United States
14-Jan-2011
1881965341 NANCY BLANCHARD Counselor, Professional 504 CHICKASAW DR,
WEST MONROE, LA, United States
14-Jan-2012

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FAQs

Whose NPI Number is 1578560850?

1578560850 is the NPI number of GWENN V JACKSON.

What is the specialty for GWENN V JACKSON?

The Specialty of GWENN V JACKSON is Obstetrics & Gynecology.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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