JEREMY BRANDT JENNY


Address: 5475 Essen Ln, Baton Rouge, LA 70809-3737
Phone: 2257678493

JEREMY BRANDT JENNY (NPI# 1699089417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699089417
Entity Type Individual
Full Name JEREMY BRANDT JENNY
Credential PHYSICIAN ASSISTANT
Practice Address 5475 Essen Ln
Baton Rouge
LA 70809-3737
Practice Telephone 2257678493
Mailing Telephone 2257678493
Enumeration Date 2010-08-04
Last Update Date 2010-08-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
200142 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 5475 ESSEN LN
City BATON ROUGE
State LA
Zip Code 70809-3737

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386717536 Med-aid Clinic Family Medicine 5475 Essen Ln, Baton Rouge, LA 70809-3547 2006-11-16

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1366903908 Tamika Wyna Piper Counselor 11445 Reiger Road, Baton Rouge, LA 70809 2019-03-27
1548734213 Urg-hab Surgical Specialists Pain Medicine 8558 Jefferson Hwy, Baton Rouge, LA 70809 2019-01-16
1205306610 Monique West Case Manager/Care Coordinator 9441 Common Street, Suite B, Baton Rouge, LA 70809 2018-11-28
1679061618 Sara Elizabeth Nicole Altaean Massage Therapist Ability Massage & Day Spa, 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-04-25
1871098921 Gary Bernard Jr. Massage Therapist 7656 Jefferson Hwy Suite 1a, Baton Rouge, LA 70809 2018-03-29
1619476355 De'andria Banks Behavior Technician 9150 Bareford Drive, Baton Rouge, LA 70809 2018-02-08
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699382176 Morgan Prejean Physician Assistant 11445 Coursey Blvd Ste L, Baton Rouge, LA 70816-0411 2020-09-28
1376078022 Brian Ammon Physician Assistant 11831 Oakwilde Ave, Baton Rouge, LA 70810-3120 2017-05-01
1194148437 Margot Lebourgeois Physician Assistant 7777 Hennessy Blvd Ste 700, Baton Rouge, LA 70808-4300 2014-01-22
1477995645 Ashley Raburn Physician Assistant 7444 Picardy Ave Ste A, Baton Rouge, LA 70808-4331 2013-07-29
1609177161 Kimberly Bergeron Physician Assistant 7301 Hennessey Blvd., Suite 200, Baton Rouge, LA 70808 2010-11-15
1487968327 Ronald Ray Torres Jr. Physician Assistant 10059 N. Reiger Road, Baton Rouge, LA 70809 2010-08-03
1639294564 Sarah Ponder Physician Assistant 7777 Hennessy Blvd Ste 5000, Baton Rouge, LA 70808-4368 2007-03-20
1033113980 Vickie Sue Rice Physician Assistant 10101 Park Rowe Ave Ste 200, Baton Rouge, LA 70810-1685 2005-06-09
1124635164 Marissa Tana Burnett Physician Assistant 8080 Bluebonnet Blvd Ste 1000, Baton Rouge, LA 70810-7827 2020-09-24
1053973750 Laura Clesi Knight Physician Assistant 7777 Hennessy Blvd Ste 701, Baton Rouge, LA 70808-4370 2019-07-02
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Competitor

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City BATON ROUGE
Zip Code 70809

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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