Healthcare Provider Details

I. General information

NPI: 1780654459
Provider Name (Legal Business Name): JEFFREY SCOTT WEEKS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2006
Last Update Date: 06/19/2025
Certification Date: 06/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 S FARMERVILLE ST
RUSTON LA
71270-5941
US

IV. Provider business mailing address

1200 S FARMERVILLE ST
RUSTON LA
71270-5941
US

V. Phone/Fax

Practice location:
  • Phone: 318-255-3690
  • Fax:
Mailing address:
  • Phone: 318-255-3690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085B0100X
TaxonomyBody Imaging Physician
License Number25003
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number2024-02020
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: