Individual
JESSICA ROSSELOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2365 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 643-1194
(985) 643-8869
Mailing address
2365 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 643-1194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
319981
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
LA
Other
Enumeration date
04/13/2015
Last updated
05/13/2024
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