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Jennifer N Meserole, CST PA

Physician Assistant, Surgical in Mandeville, LA. Individual provider (NPI-1).

NPI number1982811006
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1982811006
Entity type
Individual (NPI-1)
Name
Mrs. Jennifer N Meserole
Credential
CST PA
Sex
Female
Sole proprietor
No
Enumeration date
May 17, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AS0400X Physician Assistant, SurgicalCN067243LAYes

Practice location

230 Audubon Dr
Mandeville, LA 70471

Phone 985-845-1501 · Fax 985-845-1601

Mailing address

230 Audubon Dr
Mandeville, LA 70471

Phone 985-845-1501 · Fax 985-845-1601

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Other Surgical Physician Assistant providers in Mandeville, LA

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