Individual
JARRET BRASHEAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 W ESPLANADE AVE STE 401, KENNER, LA 70065-2475
(045) 464-8588
Mailing address
1542 TULANE AVE, RM 734, NEW ORLEANS, LA 70112-2865
(504) 568-4760
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
205549
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106112
—
LA
Enumeration date
03/19/2010
Last updated
02/01/2023
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