Individual
JACLYN HEBERT ISABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17050 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3221
(225) 754-4302
Mailing address
17050 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3221
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
331011
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/25/2017
Last updated
08/30/2023
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