JEAN WEDNER ROUSSEAU MD
NPI 1750485900
General Practice in Shreveport, LA

Active since September 09, 2006
4140 HOLLYWOOD AVENUE, SHREVEPORT, LA 71109(318) 621-9600(318) 621-0169 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jean Wedner Rousseau Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEAN WEDNER ROUSSEAU MD (NPI 1750485900) is an individual general practice provider in Shreveport, Louisiana, licensed in Louisiana (06203R) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1750485900
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJEAN WEDNER ROUSSEAUCredential: MD
Location Address4140 HOLLYWOOD AVENUEShreveport, LA 71109-7818
Mailing Address4140 Hollywood AvenueShreveport, LA 71109-7818 · (318) 621-9600 · Fax (318) 621-0169
Fax(318) 621-0169
Sole ProprietorNo
Enumeration DateSeptember 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1750485900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in LA · 06203R
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
4140 HOLLYWOOD AVENUE, Shreveport, LA 71109

Other Identifiers 3

Medicaid1334022LA
Medicare UPINB65761
Medicare ID-Type Unspecified50168LA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jean Rousseau's NPI number?

The NPI number for Jean Rousseau is 1750485900. It was assigned to this individual provider in the NPPES registry on September 9, 2006.

Where is Jean Rousseau located?

Jean Rousseau practices at 4140 Hollywood Avenue, Shreveport, LA 71109. The listed phone number is (318) 621-9600.

What is Jean Rousseau's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Jean Rousseau was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.