NPI 1194871731

Jessica Jamison, PROVIDER

Practitioner Military Health Care Provider Shreveport, LA

Practice location

Address: 7505 Pines Rd STE 1255, Shreveport, LA 71129-3923
Phone: (318) 687-9929
Fax: (318) 687-9469

Registered specialties

Military Health Care Provider Primary

Other Service Providers Taxonomy 171000000X Licence 5319389001 (LA)

Other Military Health Care Provider providers in Louisiana →

Registry record

NPI: 1194871731
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.