Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BALLARD JACKSON MANN, P.A.
ActiveBALLARD JACKSON MANN, P.A. is a Physician Assistant healthcare provider located in BAKER, Louisiana. NPI 1942580048 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · BAKER, LA
Registration Details
- NPI Number
- 1942580048
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 19, 2011 (14.94680855021 yrs)
- Last Updated
- Jan 22, 2021
- License
-
200461 (LA)
Practice Information
- Address
-
6516 E MYRTLE AVEBAKER, LA, 707144348Browse LA providers · Browse ZIP 70714
- Phone
- 2257747320
- Fax
- 2257745432
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in BAKER, LA
| Name | Credential | NPI |
|---|---|---|
| ALICE CATHERINE POWELL | P. A. | 1386694560 |
| DIMITRI NICHOLAS PAGOULATO | PAC | 1194988915 |
| THIKRA MUHSIN | — | 1578274536 |
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.