MISS JATAURIA DEPARIS SHARDAYE DEAN NPI 1144800715

NPI Information

NPI: 1144800715
Provider Name: MISS JATAURIA DEPARIS SHARDAYE DEAN
Classification:
Entity Type: Individual
Address:
1610 JACKSON ST
MONROE, LA
ZIP 71202
Phone: (318) 512-2857
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MISS Jatauria Deparis Shardaye Dean is a healthcare provider in Monroe, LA. MISS Jatauria Deparis Shardaye Dean NPI is 1144800715. 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:

1610 JACKSON ST
MONROE, LA
ZIP 71202-030
Phone: (318) 512-2857
Fax: (318) 388-4961

The enumeration date for this NPI number is 4/8/2021 and was last updated on 4/8/2021.

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	Taxonomy Specialization	License Number	License State	Primary
1	101YS0200X	Counselor	School			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	1457731366	MEDICAID	LOUISIANA

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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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