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NPI Verification

National Provider Identifier: 1972803088

Jacquelyn E Adcock, P.a.

Individual Provider

Credentials

P.A.

Primary Specialty

Physician Assistant

Code: 363A00000X

All Specialties (2)

Family Medicine

Code: 207Q00000X

Physician Assistant

Code: 363A00000X

Primary

Practice Address

2539 VIKING DR

SUITE 101

BOSSIER CITY, LA 711111611

Phone: 318-747-8100

NPI Enumeration Date

October 25, 2010

NPI Number

1972803088

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Jacquelyn Adcock, P.a. - NPI 1972803088 | Provider Verification | HormoneMap