Jillene Amow, FNP
Nurse Practitioner, Family in Metairie, LA. Individual provider (NPI-1).
NPI number1831695691
StatusActive
Last updated in NPPESOct 3, 2023
Details
- NPI
- 1831695691
- Entity type
- Individual (NPI-1)
- Name
- Jillene Amow
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 2, 2018
- Certification date
- Oct 3, 2023
- Last updated
- Oct 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 230298 | LA | Yes |
| 363L00000X | Nurse Practitioner | 61009 | ID |
Practice location
2005 Veterans Memorial BlvdMetairie, LA 70002-6320
Phone 504-836-9820
Mailing address
1514 Jefferson HwyNew Orleans, LA 70121-2429
Phone 504-842-4000
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