Dr. Jaclyn Duboue
Periodontist
4134 Florida Ave Ste 101
Kenner
, Louisiana 70065-2190
Dr. Jaclyn Duboue
Periodontist
4134 Florida Ave Ste 101
Kenner
, Louisiana 70065-2190
(504) 390-2847
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Jaclyn Duboue
- 3121 Maryland Ave
- Kenner, LA
- Zip : 70065
- Phone : (504) 390-2847
Second Address
- Dr. Jaclyn Duboue
- 4134 Florida Ave Ste 101
- Kenner, LA
- Zip : 70065-2190
- Phone : (504) 218-4444
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 5635 | LA |
National Provider Identifier
| NPI | 1154409365 |
|---|---|
| Provider Name | Dr. Jaclyn Duboue |
| First Address | Kenner, LA 70065 |
| Second Address | Kenner, LA 70065-2190 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2006 |
| Last Update Date | 19/01/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.