# DR. LOUIS BERNARD JACQUES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1659378198
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101042011 | VA | — |
| 207Q00000X | Family Medicine Physician | D0036186 | MD | Yes |
| 207Q00000X | Family Medicine Physician | MD14879 | DC | — |

## Other

- **Enumeration date:** 06/30/2005
- **Last updated:** 11/12/2008