Individual
JACOB R NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
15790 PAUL VEGA MD DR, EMERGENCY ROOM, HAMMOND, LA 70403-1434
(985) 230-1682
(985) 230-1617
Mailing address
PO BOX 2668, HAMMOND, LA 70404-2668
(985) 230-1332
(985) 230-1334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07147
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2324985
—
LA
Enumeration date
02/04/2013
Last updated
10/26/2018
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