Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacquelyn E Adcock, PA

Individual provider Family Medicine Physician · NPI 1972803088

Jacquelyn E Adcock, PA is a Physician Assistant in Bossier City, Louisiana. Qualified in 2010, 16 years ago. Practices with Bossier Family Medicine, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
16
Licensed in
LA
In the registry since
2010
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2539 Viking Dr Ste 101
Bossier City, LA 71111-1611
Phone: (318) 747-8100
Fax: (318) 747-8150
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 200398 (LA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 200398 (LA)

Record details

NPI number1972803088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 25, 2010
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020
Mailing address2539 Viking Dr, Suite 101, Bossier City, LA 71111-1611

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Bossier Family Medicine, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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