Individual provider · Type 1 NPI
Jessica Jamison, PROVIDER
Military Health Care Provider · Shreveport, LA
NPI number
1194871731
Active
Practice location
7505 Pines Rd Ste 1255
Shreveport, LA 71129-3923
Fax (318) 687-9469
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Military Health Care Provider Primary | 171000000X | 5319389001 (LA) |
Military Health Care Provider: Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
2 other providers at this address
Other military health care provider providers in Shreveport
About NPI 1194871731
Jessica Jamison, PROVIDER's National Provider Identifier is 1194871731, issued on Jan 26, 2007. The primary taxonomy on file is Military Health Care Provider (171000000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 8, 2007.