Bordelon, Jessica

Bordelon, Jessica is an individual health care provider with primary practice located at 4443 Jackson St , Alexandria LA 71303-2709. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Bordelon, Jessica can be contacted via phone (318) 448-1683.

Contact Information

Primary practice address
4443 Jackson St Alexandria LA 71303-2709
Phone: (318) 448-1683
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 019160 Louisiana

Profile Details

NPI number 1427635895
LBN Legal business name Bordelon, Jessica
Credentials PHARMD.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2021
Last updated Mar 24th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427635895 NPPES
Louisiana Other 019160 LOUISIANA BOARD OF PHARMACY LICENSE NUMBER

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