Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEAN WEDNER ROUSSEAU, MD
ActiveJEAN WEDNER ROUSSEAU, MD is a General Practice healthcare provider located in SHREVEPORT, Louisiana. NPI 1750485900 is currently active in the NPPES registry. Verify at CMS.
General Practice · SHREVEPORT, LA
Registration Details
- NPI Number
- 1750485900
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2006 (19.90409183363 yrs)
- Last Updated
- Jul 8, 2007
- License
-
06203R (LA)
Practice Information
- Address
-
4140 HOLLYWOOD AVENUESHREVEPORT, LA, 711097818Browse LA providers · Browse ZIP 71109
- Phone
- 3186219600
- Fax
- 3186210169
- Primary Specialty
-
General Practice
208D00000X
Other General Practice Providers in SHREVEPORT, LA
| Name | Credential | NPI |
|---|---|---|
| JULANA MONTI | MD | 1538302971 |
| DR. EDDIE GLEN JOHNSON III | M.D. | 1962738500 |
| RILEY SCHAAP | — | 1306580279 |
| MRS. BETSY EMANUEL BALL | MD | 1457224578 |
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.