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Jacqueline A Frazier

Peer Specialist in Baton Rouge, LA. Individual provider (NPI-1).

NPI number1730727751
StatusActive
Last updated in NPPESMar 19, 2020

Details

NPI
1730727751
Entity type
Individual (NPI-1)
Name
Jacqueline A Frazier
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 20, 2019
Certification date
Mar 19, 2020
Last updated
Mar 19, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist––Yes

Practice location

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Phone 225-478-9685

Mailing address

8326 Kelwood Ave
Baton Rouge, LA 70806-4803

Phone 225-478-9685

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Peer Specialist providers in Baton Rouge, LA

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