Ballard Jackson Mann, PA
Ballard Jackson Mann, PA is a Physician Assistant in Baker, Louisiana. Qualified in 2011, 15 years ago. Practices with Our Lady of the Lake Physician Group LLC, a 635-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 15
- Licensed in
- LA
- In the registry since
- 2011
What do these letters mean?
- PA — Physician Assistant
- A licensed clinician who examines, diagnoses and treats under a physician's supervision.
Practice location Address checks out
6516 E Myrtle AveBaker, LA 70714-4348
Phone: (225) 774-7320
Fax: (225) 774-5432
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 200461 (LA) |
|---|
Record details
| NPI number | 1942580048 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA |
| Sole proprietor | No |
| NPI enumerated | August 19, 2011 |
| Last updated in NPPES | January 22, 2021 |
| Certification date | January 22, 2021 |
| Mailing address | 5959 S Sherwood Forest Blvd, Baton Rouge, LA 70816-6038 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2011 (15 years in practice) |
| Group practice | Our Lady Of The Lake Physician Group Llc — 635 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 4 on file with Medicare |
Other providers in Baker
-
Thikra Muhsin
902 Main St, Baker, LA 70714-3444 · (225) 500-2504
-
Dimitri Nicholas Pagoulato, PAC
6516 E Myrtle Ave, Baker, LA 70714-4348 · (225) 774-7320
-
Alice Catherine Powell, PA
6516 E Myrtle Ave, Baker, LA 70714-4348 · (225) 774-7320