Search › Louisiana › 101YP2500X
Jacob Funderburk, PLPC
NPI 1639749617 · on the registry since 2021
Practice
- Address
- 6240 Greenwood Rd
Shreveport, LA 71119 - Phone
- (318) 562-6320
- Organisation at this address
- Center Point, Inc.
New Day Recovery, Llc
Applegate Health Services, Inc.
Department Of Health And Hospitals
Department Of Health And HospitalsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 11
Additional practice sites
- 2984 Old Plain Dealing Rd, Plain Dealing, LA
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-11-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana