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Jakob Brown

Case Manager/Care Coordinator in Ruston, LA. Individual provider (NPI-1).

NPI number1093663080
StatusActive
Last updated in NPPESMar 17, 2026

Details

NPI
1093663080
Entity type
Individual (NPI-1)
Name
Jakob Brown
Sex
Male
Sole proprietor
No
Enumeration date
Mar 17, 2026
Certification date
Mar 17, 2026
Last updated
Mar 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator–LAYes

Practice location

305 E Mississippi Ave Ste 1
Ruston, LA 71270-3905

Phone 318-202-3706

Mailing address

1000 Chinaberry Dr Ste 900
Bossier City, LA 71111-2455

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