Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JADE PARK
Active Sole ProprietorJADE PARK is a Family Medicine healthcare provider located in ALEXANDRIA, Louisiana. NPI 1053988741 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · ALEXANDRIA, LA
Registration Details
- NPI Number
- 1053988741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 9, 2021 (5.1962957549649 yrs)
- Last Updated
- Sep 12, 2024
- License
-
01093877A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
301 4TH STALEXANDRIA, LA, 713018411Browse LA providers · Browse ZIP 71301
- Phone
- 3184411041
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in ALEXANDRIA, LA
| Name | Credential | NPI |
|---|---|---|
| PETER MILDER | MD | 1952304776 |
| ALEJANDRO PEREZ | MD | 1598768301 |
| DR. CHARLES RAY JOINER | M.D. | 1780686923 |
| DR. GREGORY ALAN BRIAN | M.D. | 1184616252 |
| MS. JOAN ELIZABETH BRUNSON | M.D. | 1184616112 |
| DR. JONATHAN DAVID HUNTER | M.D. | 1619969532 |
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.