JACQUELYN E ADCOCK (NPI# 1972803088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972803088 |
| Entity Type | Individual |
| Full Name | JACQUELYN E ADCOCK |
| Credential | P.A. |
| Practice Address |
2539 Viking Dr Suite 101 Bossier City LA 71111-1611 |
| Practice Telephone | 3187478100 |
| Practice Fax Number | 3187478150 |
| Mailing Telephone | 3187478100 |
| Mailing Fax Number | 3187478150 |
| Enumeration Date | 2010-10-25 |
| Last Update Date | 2020-10-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 200398 | LA | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 200398 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2539 VIKING DR SUITE 101 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-1611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770587461 | Robert J Massingill | Internal Medicine | 2539 Viking Dr, Bossier City, LA 71111-1611 | 2005-06-09 |
| 1477805323 | Yue-kong Au Md LLC | Ophthalmology | 2539 Viking Dr, Ste 103, Bossier City, LA 71111-1611 | 2012-10-02 |
| 1982913026 | Kimberly Denise Pair | Physician Assistant | 2539 Viking Dr, Suite 101, Bossier City, LA 71111 | 2010-10-06 |
| 1013108141 | Neelima Chintapalli | Internal Medicine | 2539 Viking Dr, Bossier City, LA 71111-1611 | 2007-08-05 |
| 1740333756 | Julie Witt Crafton | Nurse Practitioner | 2539 Viking Dr, Suite 101, Bossier City, LA 71111-1611 | 2007-01-21 |
| 1578522587 | Yue Kong Au | Ophthalmology | 2539 Viking Dr, Suite 103, Bossier City, LA 71111-2165 | 2006-03-20 |
| 1477526275 | Patrick H Deere | Family Medicine | 2539 Viking Dr, Suite 101, Bossier City, LA 71111-1611 | 2006-02-10 |
| 1295723955 | Michael Alon Angelo | Family Medicine | 2539 Viking Dr, Suite 101, Bossier City, LA 71111-2165 | 2005-10-07 |
| 1124016985 | William F. Maranto | Family Medicine | 2539 Viking Dr, Suite 101, Bossier City, LA 71111-2165 | 2005-10-06 |
| 1659369411 | Robert Kirk Saucier | Family Medicine | 2539 Viking Dr, Bossier City, LA 71111-2165 | 2005-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114445798 | Paul Allen Ballard | Physician Assistant | 2449 Hospital Dr Ste 340, Bossier City, LA 71111-1912 | 2017-09-05 |
| 1295088656 | Sarah Tucker Allen | Physician Assistant | 2449 Hospital Dr Ste 420, Bossier City, LA 71111 | 2012-10-23 |
| 1689907362 | Brian Wayne Sparks | Physician Assistant | 407 Gator Cv, Bossier City, LA 71111-8219 | 2009-09-11 |
| 1063029197 | Molly Joyce Day | Physician Assistant | 2005 Landry Dr, Bossier City, LA 71111-3169 | 2020-09-23 |
| 1487166989 | Darrah Danielle Craig | Physician Assistant | 2449 Hospital Dr Ste 340, Bossier City, LA 71111-1912 | 2017-10-25 |
| 1134677362 | Lauren Elizabeth Boley | Physician Assistant | 2890 Douglas Dr, Bossier City, LA 71111-5806 | 2016-09-16 |
| 1336575778 | Sarah Carson Brantley | Physician Assistant | 2449 Hospital Dr Ste 200, Bossier City, LA 71111-1905 | 2013-09-17 |
| 1922348887 | Lauren Gernand Banet | Physician Assistant | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2013-02-28 |
| 1487906277 | Jeremy J. Causey | Physician Assistant | 2005 Landry Dr, Bossier City, LA 71111-3169 | 2012-10-04 |
| 1154687978 | Tommy Ray Robinson | Physician Assistant | 5401 Shed Rd, Bossier City, LA 71111-5420 | 2012-04-05 |
| Find all providers in BOSSIER CITY | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on JACQUELYN E ADCOCK.
| 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.