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NPI Code Detail

MEDICARE: DR. JOBY JACKSON WESTMORELAND MD, PHD

MEDICARE: DR. JOBY JACKSON WESTMORELAND MD, PHD
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
1207Q00000XFamily Medicine Physician341187LA

General Provider Information

NPI Number : 1538800800
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOBY JACKSON WESTMORELAND MD, PHD
Provider Business Mailing Address
First Line : 17240 HEARTBEAT CIR
Second Line :
City : COVINGTON
State : LA
Zip : 70435-5757
Country : US
Telephone Number : 985-898-4001
Fax Number :
Provider Business Practice Location Address
First Line : 17240 HEARTBEAT CIR
Second Line :
City : COVINGTON
State : LA
Zip : 70435-5757
Country : US
Telephone Number : 985-898-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2022
Last Update Date : 06/24/2025

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