Patrice Jenne Tyson
MD | Pediatric Gastroenterology | Female
Patrice Jenne Tyson, MD is a Baton Rouge, Louisiana based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Patrice Jenne Tyson is
7777 Hennessy Blvd, Suite 409, Baton Rouge, Louisiana - 70808-4300. She can be contacted on phone at
225-765-6834 and fax number 225-765-2054.
Patrice Jenne Tyson is a sole proprietor of her business.
NPI number (Unique professional ID) for Patrice Jenne Tyson is
1558569764 which was assigned by NPPES on 10 Jul, 2007 and it was last updated on 25 Oct, 2013.
Patrice Jenne Tyson license number is
MD.025783 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Louisiana.
Patrice Jenne Tyson specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Patrice Jenne Tyson basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Patrice Jenne Tyson |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Patrice Jenne Tyson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7777 Hennessy Blvd, Suite 409
Baton Rouge, LA, 70808-4300
United States |
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| Phone Number : | 225-765-6834 |
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| Fax Number : | 225-765-2054 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1558569764 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 10 Jul, 2007 |
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| Last Updated On : | 25 Oct, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Patrice Jenne Tyson are as mentioned. Primary taxonomy code for Patrice Jenne Tyson, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | MD.025783 | LA |
| 208000000X | Pediatrics | No | 35090026 | OH |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | MD.025783 | LA |
Legacy Identifiers:
Other legacy medical identifiers of Patrice Jenne Tyson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 03659802 | MEDICAID | MS | |
| 2745551 | MEDICAID | OH | |
| 000000225140 | Other | OH | UNISON |
| 000000530761 | Other | OH | ANTHEM |
| 1021891110001 | Other | PA | PA MEDICAID |
| 415048 | Other | OH | WELLCARE |
| 749095 | Other | OH | BUCKEYE |
| 962065 | Other | OH | AETNA |
| 1044121 | MEDICAID | LA | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7777 Hennessy Blvd, Suite 409
Baton Rouge, LA, 70808-4300
United States |
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| Phone Number : | 225-765-6834 |
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| Fax Number : | 225-765-2054 |
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Business Location:
Patients can refer following map for directions to
Patrice Jenne Tyson practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.