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NPI Code Detail

MEDICARE: JENNIFER BELLO VOSBURG PA-C

MEDICARE: JENNIFER BELLO VOSBURG PA-C
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
1363A00000XPhysician AssistantPA.A10454.RXLA

General Provider Information

NPI Number : 1831190321
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BELLO VOSBURG PA-C
Provider Business Mailing Address
First Line : 5231 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9100
Country : US
Telephone Number : 225-769-0933
Fax Number : 225-769-6255
Provider Business Practice Location Address
First Line : 5231 BRITTANY DR
Second Line :
City : BATON ROUGE
State : LA
Zip : 70808-9100
Country : US
Telephone Number : 225-769-0933
Fax Number : 225-769-6255
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 04/27/2022

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Directions to “ JENNIFER BELLO VOSBURG PA-C” Practice Location

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