JENNA NICOLE BLUNDELL

SHREVEPORT, LA
NPI1144829540
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  216026)
Enumeration Date2020-10-19
Last Update Date2021-06-18
Business Address
JENNA NICOLE BLUNDELL FNP
1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
SHREVEPORT, LA 71105-5740
Phone number: 318-212-3858
Mailing Address
JENNA NICOLE BLUNDELL FNP
122 RAGAN LN
HAUGHTON, LA 71037-8994
Phone number: 641-990-3361