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Mr. Jacob Boone Anderson
Student in an Organized Health Care Education/Training Program in New Orleans, Louisiana
NPI 1538658158

Jacob Boone Anderson is a Student in an Organized Health Care Education/Training Program based in New Orleans, LA. Jacob Boone Anderson practices in New Orleans, LA. The NPI Number for Jacob Boone Anderson is 1538658158 and holds a License No. 338120 (Louisiana).

The current practice location address for Jacob Boone Anderson is 1514 Jefferson Hwy, New Orleans, LA and can be reached out via phone at 504-842-3260.

Location: 1514 Jefferson Hwy, New Orleans, LA, 70115-6364
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538658158
Provider Name
Jacob Boone Anderson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1514 Jefferson Hwy, New Orleans, LA, 70115-6364
Phone Number
504-842-3260
Fax Number
Provider Enumeration Date
05/09/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1514 Jefferson Hwy
City
New Orleans
State
Louisiana
Zip
70121-2483
Phone Number
504-842-3260
Fax Number
person
Provider Business Mailing Address Details
Address
1514 Jefferson Hwy
City
New Orleans
State
Louisiana
Zip
70121-2483
Phone Number
504-842-3260
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
208800000X
License No.
()
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
338120 (Louisiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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