Organization
JEFFERSON DAVIS PARISH SCHOOL BOARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOMMIE LEE SMITH (SUPERINTENDENT)
(337) 824-1834
Entity
Organization
Contact information
Practice address
203 E PLAQUEMINE ST, JENNINGS, LA 70546-5853
(337) 824-1834
Mailing address
203 E PLAQUEMINE ST, JENNINGS, LA 70546-5853
(337) 824-1834
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1415286
—
LA
05
—
1701076
—
LA
Enumeration date
04/24/2007
Last updated
08/22/2020
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