| Dr Shaunda Jones Llc | |
|
1111 Medical Center Blvd Suite N304 Marrero LA 70072-3151 | |
| (504) 349-6465 | |
| (504) 349-6468 |
| Full Name | Dr Shaunda Jones Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1111 Medical Center Blvd, Marrero, Louisiana |
| Authorized Official Name and Position | Shaunda P Jones (DOCTOR) |
| Authorized Official Contact | 5043496465 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Shaunda Jones Llc 1111 Medical Center Blvd Suite N304 Marrero LA 70072-3151 Ph: (504) 349-6465 | Dr Shaunda Jones Llc 1111 Medical Center Blvd Suite N304 Marrero LA 70072-3151 Ph: (504) 349-6465 |
| NPI Number | 1366630964 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 7719944859 |
|---|---|
| Medicare Enrollment ID | O20041210000238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366630964 | NPI | - | NPPES |
| 1986461 | Medicaid | LA | |
| 435295542C | Other | LA | BCBSLA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0211452 (Louisiana) | Primary |
| Provider Name | Shaunda P Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891734190 PECOS PAC ID: 5698789865 Enrollment ID: I20101104001649 |
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