Individual
JESSICA ANN BORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Mailing address
1990 INDUSTRIAL BLVD, HOUMA, LA 70363-7055
(985) 868-9300
(985) 851-0053
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
018747
LA
2085R0202X
Diagnostic Radiology Physician
Primary
018747
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1660680
—
LA
Enumeration date
07/24/2006
Last updated
08/14/2014
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