Individual
JANE EVERIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
920 OLIVER RD, SUITE A, MONROE, LA 71201-5702
(318) 329-9202
(318) 329-1258
Mailing address
130 DESIARD ST, SUITE 355, MONROE, LA 71201-7319
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
04761R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1199451
—
LA
Enumeration date
06/17/2006
Last updated
01/07/2016
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