Individual
MR. JASON PAUL AMADEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(504) 736-4800
(504) 736-4810
Mailing address
1201 S CLEARVIEW PKWY, JEFFERSON, LA 70121-1015
(504) 736-4800
(504) 736-4810
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200450
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2165607
—
LA
Enumeration date
06/22/2011
Last updated
03/02/2023
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