person
Miss Jessica Jamison, PROVIDER
Military Health Care Provider in Shreveport, Louisiana
NPI 1194871731

Jessica Jamison is a Military Health Care Provider based in Shreveport, LA. Jessica Jamison practices in Shreveport, LA and has the professional credentials of PROVIDER. The NPI Number for Jessica Jamison is 1194871731 and holds a License No. 5319389001 (Louisiana).

The current practice location address for Jessica Jamison is 7505 Pines Rd Ste 1255, Shreveport, LA and can be reached out via phone at 318-687-9929 and via fax at 318-687-9469.

Location: 7505 Pines Rd Ste 1255, Shreveport, LA, 71129-3923
person
Provider Profile Details
NPI Number
1194871731
Provider Name
Jessica Jamison
Credential
PROVIDER
Provider Entity Type
Individual
Gender
Female
Address
7505 Pines Rd Ste 1255, Shreveport, LA, 71129-3923
Phone Number
318-687-9929
Fax Number
318-687-9469
Provider Enumeration Date
01/26/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7505 Pines Rd Ste 1255
City
State
Zip
71129-3923
Phone Number
318-687-9929
Fax Number
318-687-9469
person
Provider Business Mailing Address Details
Address
7505 Pines Rd Ste 1255
City
State
Zip
71129-3923
Phone Number
318-687-9929
Fax Number
318-687-9469
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
License No.
5319389001 (Louisiana)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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