EBONY JUAKALI M.D. NPI 1376905901

NPI Information

NPI: 1376905901
Provider Name: EBONY JUAKALI, M.D.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2750 GAUSE BLVD E
SLIDELL, LA
ZIP 70461
Phone: (985) 639-3777
Get Directions

Ebony Juakali, M.D. is a family medicine in Slidell, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Ebony Juakali, M.D. NPI is 1376905901. 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:

2750 GAUSE BLVD E
SLIDELL, LA
ZIP 70461-149
Phone: (985) 639-3777
Fax: (985) 639-3701

The NPI 1376905901 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 3/23/2016 and was last updated on 3/2/2021.

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	License Number	License State	Primary
1	207P00000X	Emergency Medicine	25251	MISSISSIPPI	No
2	207Q00000X	Family Medicine	325147	LOUISIANA	Yes
3	207Q00000X	Family Medicine	25251	MISSISSIPPI	No
4	208M00000X	Hospitalist	25251	MISSISSIPPI	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	08204878	MEDICAID	MISSISSIPPI

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: 4/28/2024

NPI Synchronization or Removal

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