Individual
JORDAN DOUGLAS PERCLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808
(225) 765-4050
(225) 765-4046
Mailing address
5000 HENNESSY BLVD, BATON ROUGE, LA 70808-4375
(225) 765-4050
(225) 765-4046
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
PGY.202766
LA
208M00000X
Hospitalist Physician
Primary
303195
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2015
Last updated
06/10/2021
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