Provider Demographics
NPI:1215929336
Name:ESTES, JEANNE M (MD)
Entity type:Individual
Prefix:DR
First Name:JEANNE
Middle Name:M
Last Name:ESTES
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:7575 JEFFERSON HWY
Mailing Address - Street 2:#87
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-8308
Mailing Address - Country:US
Mailing Address - Phone:225-927-3062
Mailing Address - Fax:225-927-7740
Practice Address - Street 1:7575 JEFFERSON HWY
Practice Address - Street 2:#87
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-8308
Practice Address - Country:US
Practice Address - Phone:225-927-3062
Practice Address - Fax:225-927-7740
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-16
Last Update Date:2013-03-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA4357R2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1192899Medicaid
LA51279Medicare ID - Type Unspecified
LA1192899Medicaid