Provider Demographics
NPI:1063756062
Name:ROOKS, JOE LAVERNE JR (ANP)
Entity type:Individual
Prefix:MR
First Name:JOE
Middle Name:LAVERNE
Last Name:ROOKS
Suffix:JR
Gender:M
Credentials:ANP
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Mailing Address - Street 1:3981 PEACHTREE CT
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-8315
Mailing Address - Country:US
Mailing Address - Phone:504-228-4825
Mailing Address - Fax:
Practice Address - Street 1:3838 N CAUSEWAY BLVD STE 2200
Practice Address - Street 2:THREE LAKEWAY CENTER
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70002-8306
Practice Address - Country:US
Practice Address - Phone:504-849-1356
Practice Address - Fax:504-849-6987
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-15
Last Update Date:2012-11-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LAAP06984363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health