Individual provider Active NPI

Marisol Jobe

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1902537426
Registry record updated Aug 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
225999 Issued in LA
Practice address
2571 Tower Dr Ste 13
Monroe, LA 71201-5700
Phone
(225) 960-1580
NPI assigned
Jun 23, 2022
Last updated
Aug 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1157370 TX
Family Nurse Practitioner 363LF0000X 225999 LA Primary

Addresses

Primary practice location

2571 Tower Dr Ste 13
Monroe, LA 71201-5700

Mailing address

2571 Tower Dr Ste 13
Monroe, LA 71201-5700
Phone (318) 516-1516

Other practice location 1

619 S Fleishel Ave
Tyler, TX 75701-2004
Phone (903) 606-7061

Other practice location 2

1541 Kings Hwy
Shreveport, LA 71103-4228
Phone (318) 626-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221203000314 LA Practitioner - Nurse Practitioner 2365811908 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Louisiana Inc CurrentSince Oct 3, 2022 Accepting new patients
Physician Group of Louisiana Inc Current Accepting new patients

Locations

503 McMillan Rd
Fl 2
West Monroe, LA 71291
Phone (318) 329-3475

9 Galen St
Watertown, MA 02472
Phone (617) 562-5413

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754784000000",
    "number": "1902537426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 TOWER DR STE 13",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015700",
            "telephone_number": "318-516-1516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 TOWER DR STE 13",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015700",
            "telephone_number": "225-960-1580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 S Fleishel Ave",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012004",
            "country_code": "US",
            "telephone_number": "903-606-7061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1541 Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-626-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOBE",
        "first_name": "MARISOL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2025-08-10",
        "certification_date": "2025-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1157370",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "225999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.