Individual
MRS. JESSICA NORTH COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15813 PAUL VEGA MD DR STE 402, HAMMOND, LA 70403-1426
(985) 230-7400
(985) 230-7401
Mailing address
PO BOX 3087, NORTH OAKS PROFESSIONAL BILLING SERVICES, HAMMOND, LA 70404-3087
(985) 230-3668
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
324299
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2561260
—
LA
Enumeration date
03/09/2021
Last updated
12/08/2022
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