JENNIFER TUPPER

SHREVEPORT, LA
NPI1437711876
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: LA  227608)
Additional Taxonomies163WP0200X Registered Nurse, Pediatrics
(Licence: LA  124754)
363LP0200X Nurse Practitioner, Pediatrics
(Licence: TX  1140664)
Enumeration Date2019-07-06
Last Update Date2025-09-12
Business Address
-- JENNIFER TUPPER APRN
2508 BERT KOUNS INDUSTRIAL LOOP STE 101
SHREVEPORT, LA 71118-3175
Phone number: 318-212-5811
Mailing Address
-- JENNIFER TUPPER APRN
2508 BERT KOUNS INDUSTRIAL LOOP STE 101
SHREVEPORT, LA 71118-3175
Phone number: 318-212-5811