# SOUTHEAST FAMILY MEDICAL PRACTICE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346874732
- **Authorized official:** JAZMIN ESCALANTE (NURSE PRACTITIONER)
- **Authorized official phone:** (985) 402-3762

## Contact information

- **Practice address:** 1320 N MORRISON BLVD STE 125, HAMMOND, LA 70401-2242
- **Practice address phone:** (985) 402-3762
- **Practice address fax:** (985) 256-2591
- **Mailing address:** 1320 N MORRISON BLVD STE 125, HAMMOND, LA 70401-2242
- **Mailing address phone:** (985) 402-3762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 02/25/2020
- **Last updated:** 05/05/2020