Individual
JENNIFER JASTRAM-BELCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5339 O'DONOVAN DRIVE, BATON ROUGE, LA 70808-4338
(225) 766-4999
(225) 767-4702
Mailing address
5339 O'DONOVAN DRIVE, BATON ROUGE, LA 70808
(225) 766-4999
(225) 767-4702
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
2005-0691
NM
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
025995
LA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD.025995
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1055395
—
LA
Enumeration date
02/06/2007
Last updated
08/18/2015
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