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NPI Code Detail

MEDICARE: JANET RENEE ZOSS

MEDICARE: JANET RENEE ZOSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1467928846
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET RENEE ZOSS
Provider Business Mailing Address
First Line : 3625 YOUREE DR
Second Line :
City : SHREVEPORT
State : LA
Zip : 71105-2121
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 305 E MISSISSIPPI AVE
Second Line :
City : RUSTON
State : LA
Zip : 71270-3905
Country : US
Telephone Number : 318-202-3706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2018
Last Update Date : 11/07/2018

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