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Contact Information

JESSICA T NASH, PA-C
1811 E BERT KOUNS
SUITE 100
SHREVEPORT, LA71115
 Phone: 318-222-3695
 Fax: 318-424-0717
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for JESSICA T NASH · (Female)

NPI # 1780889352
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/15/2007
Last updated 05/13/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • LA License # PA.200115
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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