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Individual

JASON M. SCIONEAUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3617 HIGHWAY 70 S, PIERRE PART, LA 70339-4455
(985) 252-0005
(985) 252-0006
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
05855
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
05855
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2125141
LA
Enumeration date
11/01/2009
Last updated
06/20/2022
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