Organization Name: | JENNIFER R. MCCANN, M.D., LLC |
NPI Number: | 1134357064 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KAREN COOPER (INSURANCE) |
Mailing Address: | 206 W 5th St Deridder |
State: | LA US |
Postal Code: | 706344856 |
Phone Number: | 3374635582 |
Fax Number: | 3374601348 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 06/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 201272 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |