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1144829540
JENNA NICOLE BLUNDELL
SHREVEPORT, LA
NPI
1144829540
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 216026)
Enumeration Date
2020-10-19
Last Update Date
2021-06-18
Business Address
JENNA NICOLE BLUNDELL FNP
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3858
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Mailing Address
JENNA NICOLE BLUNDELL FNP
122 RAGAN LN
HAUGHTON, LA 71037-8994
Phone number: 641-990-3361
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