OrganizationActive
Jefferson Family Medical Center ,LLC
NPI 1710078449 · Medical Specialty Clinic/Center · Baton Rouge, LA
Provider details
- NPI number
- 1710078449
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brian Heise, President(225) 926-4780
- License
- 12387R (LA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
330 Lee Dr.
Suite B
Baton Rouge, LA 70808-1601
Phone: (225) 926-4780
Fax: (225) 926-4783
Approximate (ZIP-level) locationGet directions
Mailing address
330 Lee Dr.
Baton Rouge, LA 70808-1601
Registry dates
- Enumerated
- 2006-09-27
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.