Individual
JERRY WAYNE SESSIONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 11TH ST NE, SPRINGHILL, LA 71075-4503
(318) 539-1700
(318) 539-5688
Mailing address
401 11TH ST NE, SPRINGHILL, LA 71075-4503
(318) 539-1700
(318) 539-5688
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11639
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1156353
—
LA
01
—
11639
LSBME LICENSE
LA
05
—
118143001
—
AR
01
—
4982
LA CDS
—
01
—
88006
AR BLUE CROSS
—
Enumeration date
02/10/2006
Last updated
03/07/2023
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