Patrice Jenne Tyson in Baton Rouge - Pediatrics
Patrice Jenne Tyson - NPI 1558569764
Patrice Jenne Tyson is a Pediatrics in Baton Rouge, Louisiana. Patrice Jenne Tyson practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Patrice Jenne Tyson is 1558569764. The last update date is 2013-10-25.
Patrice Jenne Tyson's current location address is 7777 Hennessy Blvd, Baton Rouge, Louisiana. You can contact this provider via phone number 2257656834 and fax number 2257652054. The mailing address for Patrice Jenne Tyson is 7777 Hennessy Blvd, Baton Rouge, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Patrice Jenne Tyson |
|---|---|
| Address | 7777 Hennessy Blvd, Baton Rouge, Louisiana |
| Phone Number | 2257656834 |
| Fax Number | 2257652054 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1558569764 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2013-10-25 |
Provider Mailing Address Detail
| Address | 7777 Hennessy Blvd |
|---|---|
| City | Baton Rouge |
| State | Louisiana (LA) |
| Post Code | 708084300 |
| Phone Number | 2257656834 |
| Fax Number | 2257652054 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 35090026 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1044121 | LA | -- | |
| 530761 | OH | ANTHEM | |
| 225140 | OH | UNISON | |
| 415048 | OH | WELLCARE | |
| 749095 | OH | BUCKEYE | |
| 2745551 | OH | -- | |
| 962065 | OH | AETNA | |
| 3659802 | MS | -- | |
| 1021891110001 | PA | PA MEDICAID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Patrice Jenne Tyson by the Centers for Medicare & Medicaid Services?
The Patrice Jenne Tyson has been assigned the NPI (National Provider Identifier) 1558569764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Can you provide the Patrice Jenne Tyson's physical address?
The Patrice Jenne Tyson is physically located at 7777 Hennessy Blvd, in the city of Baton Rouge, LA, with the postal code 708084300.
What is Patrice Jenne Tyson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Patrice Jenne Tyson's specialized field of practice is Pediatrics, and the corresponding taxonomy code that categorizes this area of specialization is 208000000X.
On what date was the 1558569764 assigned to Patrice Jenne Tyson?
The Patrice Jenne Tyson was issued its 1558569764 on 2007-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Patrice Jenne Tyson most recently updated?
The details pertaining to the Patrice Jenne Tyson, including its address, specialty, and other relevant information, were last refreshed on 2013-10-25.