IndividualActive
Jacob Davis
NPI 1932672979 · Health Maintenance Organization · Baton Rouge, LA
Provider details
- NPI number
- 1932672979
- Entity type
- Individual
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Sex
- Male
- Sole proprietor
- Yes
- License
- 5559 (LA)
Specialties & taxonomies
Managed Care Organizations
Practice location
606 Colonial Dr Ste B
Baton Rouge, LA 70806-6535
Phone: (225) 406-7670
Approximate (ZIP-level) locationGet directions
Mailing address
606 Colonial Dr Ste B
Baton Rouge, LA 70806-6535
Registry dates
- Enumerated
- 2019-01-02
- Last updated
- 2019-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.