MISS Jessica Jamison, PROVIDER
NPI #1194871731 in Shreveport, Louisiana
Provider Information
- NPI Number
- 1194871731
- Entity Type
- Individual
- Name
- MISS Jessica Jamison, PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider
- Credential
- PROVIDER
- Enumeration Date
- Jan 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 7505 PINES RD STE 1255
- City
- Shreveport
- State
- Louisiana
- ZIP Code
- 71129-3923
- Phone
- (318) 687-9929
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider |
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| Deangelo Brooks | |
| Jesse Andrew Walton | |
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Organizations
| Provider Name | |
|---|---|
| Red River Army Depot | |
| United States Coast Guard |
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