MS. JACQUELYN ILENE DOLAN NPI 1306404595

NPI Information

NPI: 1306404595
Provider Name: MS. JACQUELYN ILENE DOLAN
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
200 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118
Phone: (985) 707-4863
Get Directions

MS. Jacquelyn Ilene Dolan is a surgical physician assistant in New Orleans, LA. MS. Jacquelyn Ilene Dolan NPI is 1306404595. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

200 HENRY CLAY AVE
NEW ORLEANS, LA
ZIP 70118-720
Phone: (985) 707-4863

The NPI 1306404595 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/3/2019 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363A00000X	Physician Assistant		312687	LOUISIANA	No
2	363AS0400X	Physician Assistant	Surgical	312687	LOUISIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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