| NPI | 1205783065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHOLANDA JACOBS Owner 337-315-7927 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-09-28 |