Justjen,llc
Registered Nurse, Registered Nurse First Assistant in Mandeville, LA. Organization (NPI-2).
NPI number1003370107
StatusActive
Last updated in NPPESJan 23, 2019
Details
- NPI
- 1003370107
- Entity type
- Organization (NPI-2)
- Legal business name
- Justjen,llc
- Organization subpart
- No
- Enumeration date
- Jan 23, 2019
- Last updated
- Jan 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WR0006X | Registered Nurse, Registered Nurse First Assistant | – | – | Yes |
Practice location
50 Tupelo TrceMandeville, LA 70471-6742
Phone 504-952-0523
Mailing address
50 Tupelo TrceMandeville, LA 70471-6742
Phone 504-952-0523
Authorized official
Jennifer Stierwald
Ceo
5049520523
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