Provider Demographics
NPI:1174727986
Name:PERROTTI, JAMIE DUNN (PA)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:DUNN
Last Name:PERROTTI
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:JAMIE
Other - Middle Name:LEE
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:145 YORKTOWN DR
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:LA
Mailing Address - Zip Code:71303-3621
Mailing Address - Country:US
Mailing Address - Phone:318-445-8380
Mailing Address - Fax:318-445-9753
Practice Address - Street 1:145 YORKTOWN DR
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:LA
Practice Address - Zip Code:71303-3621
Practice Address - Country:US
Practice Address - Phone:318-445-8380
Practice Address - Fax:318-445-9753
Is Sole Proprietor?:No
Enumeration Date:2007-06-14
Last Update Date:2008-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.TP.616363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical