IndividualActive
Jessica Jamison, PROVIDER
NPI 1194871731 · Military Health Care Provider · Shreveport, LA
Provider details
- NPI number
- 1194871731
- Entity type
- Individual
- Primary specialty
- Military Health Care ProviderOther Service Providers
- Credential
- PROVIDER
- Sex
- Female
- Sole proprietor
- No
- License
- 5319389001 (LA)
Specialties & taxonomies
Other Service Providers
Practice location
7505 Pines Rd Ste 1255
Shreveport, LA 71129-3923
Phone: (318) 687-9929
Fax: (318) 687-9469
Approximate (ZIP-level) locationGet directions
Mailing address
7505 Pines Rd Ste 1255
Shreveport, LA 71129-3923
Registry dates
- Enumerated
- 2007-01-26
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.