Individual
ANNIE KAY JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-7737
(318) 675-5666
Mailing address
1501 KINGS HWY, DEPARTMENT OF EMERGENCY MEDICINE, SHREVEPORT, LA 71103-4228
(318) 675-7737
(318) 675-5666
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA10506RX
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1626368
—
LA
Enumeration date
07/14/2006
Last updated
03/10/2008
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