Provider Demographics
NPI:1538340484
Name:SCHOOLEY, JARROD (PA)
Entity type:Individual
Prefix:MR
First Name:JARROD
Middle Name:
Last Name:SCHOOLEY
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 RIDGEWAY DR
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71291-4932
Mailing Address - Country:US
Mailing Address - Phone:318-396-8074
Mailing Address - Fax:
Practice Address - Street 1:2309 ARKANSAS RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7820
Practice Address - Country:US
Practice Address - Phone:318-397-7000
Practice Address - Fax:318-537-9049
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPA.TEMP.PERMIT363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant