Individual
JILL HUCKABEE FRUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7855 JEFFERSON HWY, BATON ROUGE, LA 70809-1206
(225) 214-3199
(225) 214-8011
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
207N00000X
Dermatology Physician
Primary
LA.204924
LA
207R00000X
Internal Medicine Physician
MD.204924
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2106538
—
LA
Enumeration date
04/19/2010
Last updated
12/30/2020
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