Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE MAMON
Active Sole ProprietorJESSE MAMON is a Community Health Worker healthcare provider located in RUSTON, Louisiana. NPI 1053761304 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · RUSTON, LA
Registration Details
- NPI Number
- 1053761304
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2016 (10.190143435449 yrs)
- Last Updated
- Jun 17, 2016
- Sole Proprietor
- Yes
Practice Information
- Address
-
2929 HIGHWAY 33RUSTON, LA, 712701628Browse LA providers · Browse ZIP 71270
- Phone
- 3182519904
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in RUSTON, LA
| Name | Credential | NPI |
|---|---|---|
| REGINA FIELDS | — | 1841640356 |
| MRS. LEE ESTER BABERS | — | 1356791784 |
| TAMEKA HARRIS I | — | 1790135044 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.