Jamison-Blair, Diane Elizabeth

Jamison-Blair, Diane Elizabeth is an individual health care provider with primary practice located at 8001 Youree Dr Ste 4007 , Shreveport LA 71115-2302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Jamison-Blair, Diane Elizabeth can be contacted via phone (318) 212-3821.

Contact Information

Primary practice address
8001 Youree Dr Ste 4007 Shreveport LA 71115-2302
Phone: (318) 212-3821
Fax: (318) 212-3825
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X L6076 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X L6076 Texas
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.021974 Louisiana

Profile Details

NPI number 1396712063
LBN Legal business name Jamison-Blair, Diane Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jun 17th, 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 1396712063 NPPES
Texas Other P00005091 RR MEDICARE
Texas MEDICAID 157381801 RR MEDICARE

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