Individual
JONATHAN EDWARD FLETCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4950 ESSEN LN FL 1, BATON ROUGE, LA 70809-3738
(225) 767-0847
(225) 215-1215
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(225) 765-5727
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2019
Last updated
02/07/2022
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