Mr. Jake Bradley Lipps
Mr. Jake Bradley Lipps is a Certified Registered Nurse Anesthetist (CRNA) in Ponchatoula, Louisiana. Qualified in 2024, 2 years ago. Practices with Louisiana State University School of Medicine in New Orleans Faculty G, a 447-clinician group and accepts Medicare assignment. Licensed in Louisiana.
- Years since qualifying
- 2
- Licensed in
- LA
- In the registry since
- 2020
Practice location Address checks out
40068 Davis DrPonchatoula, LA 70454-6410
Phone: (985) 974-9687
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Certified Registered Nurse Anesthetist (primary) | Taxonomy 367500000X · Licence 236041 (LA) |
|---|
Record details
| NPI number | 1659985596 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 8, 2020 |
| Last updated in NPPES | July 11, 2024 |
| Certification date | July 11, 2024 |
Medicare enrollment
| Medicare specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Louisiana State University School Of Medicine In New Orleans Faculty G — 447 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Ponchatoula
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Northshore Anesthesia Practice, LLC
24575 Verneiul Ln, Ponchatoula, LA 70454-6211 · (985) 687-7656