Healthcare Provider Details

I. General information

NPI: 1174727986
Provider Name (Legal Business Name): JAMIE DUNN PERROTTI PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JAMIE LEE DUNN

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 YORKTOWN DR
ALEXANDRIA LA
71303-3621
US

IV. Provider business mailing address

145 YORKTOWN DR
ALEXANDRIA LA
71303-3621
US

V. Phone/Fax

Practice location:
  • Phone: 318-445-8380
  • Fax: 318-445-9753
Mailing address:
  • Phone: 318-445-8380
  • Fax: 318-445-9753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.TP.616
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: