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NPI Code Detail

MEDICARE: JERIELLE LEIGH ADAMS

MEDICARE: JERIELLE LEIGH ADAMS
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
1207P00000XEmergency Medicine Physician23119MS
2207P00000XEmergency Medicine Physician206008LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174813018
Entity Type Code : Individual
Provider Name (Legal Business Name) : JERIELLE LEIGH ADAMS
Provider Business Mailing Address
First Line : 5246 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9136
Country : US
Telephone Number : 225-757-4140
Fax Number :
Provider Business Practice Location Address
First Line : 5246 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9136
Country : US
Telephone Number : 225-757-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2011
Last Update Date : 09/13/2019

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Directions to “ JERIELLE LEIGH ADAMS ” Practice Location

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