Individual
JARED WAKEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2601 TULANE AVE, NEW ORLEANS, LA 70119-7462
(504) 821-2601
(504) 267-3014
Mailing address
2601 TULANE AVE, NEW ORLEANS, LA 70119-7462
(504) 821-2601
(504) 267-3014
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
204702
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396030
—
LA
Enumeration date
06/10/2008
Last updated
09/16/2015
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