Andria Daniell Jackson, is a
Case Manager/care Coordinator based in Bossier City, Louisiana. Andria Daniell Jackson is licensed to practice in NU (license number ) and her current practice location is
1000 Chinaberry Dr Ste 900, Bossier City, Louisiana. She can be reached at her office (for appointments etc.) via phone at
(318) 259-4676.
NPI number for Andria Daniell Jackson is 1053851063 and her current mailing address is 1616 Arkansas Rd Apt 169, West Monroe, Louisiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053851063.
Healthcare Provider's Profile
| Full Name | Andria Daniell Jackson |
|---|
| Gender | Female |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 1000 Chinaberry Dr Ste 900, Bossier City, Louisiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1053851063
- Provider Enumeration Date: 02/24/2017
- Last Update Date: 07/12/2021
Medical Identifiers
Medical identifiers for Andria Daniell Jackson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1053851063 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andria Daniell Jackson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Andria Daniell Jackson, 1616 Arkansas Rd Apt 169, West Monroe, LA 71291-7042 Ph: (210) 880-2621 | Andria Daniell Jackson, 1000 Chinaberry Dr Ste 900, Bossier City, LA 71111-2455 Ph: (318) 259-4676 |
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