Active NPI
Jessica Jamison, PROVIDER
- Military Health Care Provider
- Shreveport, LA
National Provider Identifier
1194871731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Military Health Care Provider
- License
- 5319389001
- Practice address
- 7505 Pines Rd Ste 1255
Shreveport, LA 71129-3923 - Phone
- (318) 687-9929
- Fax
- (318) 687-9469
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Military Health Care Provider | 171000000X | 5319389001 | LA | Primary |
Addresses
Primary practice location
7505 Pines Rd Ste 1255
Shreveport, LA 71129-3923
Mailing address
7505 Pines Rd Ste 1255
Shreveport, LA 71129-3923
Phone (318) 687-9929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5319389001 | LA | MD | Military Health Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1194871731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 PINES RD STE 1255",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293923",
"telephone_number": "318-687-9929",
"fax_number": "318-687-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 PINES RD STE 1255",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711293923",
"telephone_number": "318-687-9929",
"fax_number": "318-687-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMISON",
"first_name": "JESSICA",
"name_prefix": "Miss",
"credential": "PROVIDER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "LA",
"license": "5319389001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.