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NPI Code Detail

MEDICARE: JESSICA B KRAKER MD

MEDICARE:   JESSICA B KRAKER  MD
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
12084N0400XNeurology Physician207193LA

General Provider Information

NPI Number : 1275660631
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESSICA B KRAKER MD
Provider Business Mailing Address
First Line : 131 S ROBERTSON ST
Second Line : SUITE 1340
City : NEW ORLEANS
State : LA
Zip : 70112-2807
Country : US
Telephone Number : 504-988-4564
Fax Number : 504-988-9191
Provider Business Practice Location Address
First Line : 131 S ROBERTSON ST
Second Line : SUITE 1340
City : NEW ORLEANS
State : LA
Zip : 70112-2807
Country : US
Telephone Number : 504-988-4564
Fax Number : 504-988-9191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2007
Last Update Date : 01/28/2015

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Directions to “ JESSICA B KRAKER MD” Practice Location

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