JENNA VAN

SHREVEPORT, LA
NPI1497200257
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP09009)
Enumeration Date2016-08-22
Last Update Date2016-08-22
Business Address
-- JENNA VAN MSN
506 ROCK HOLLOW DR
SHREVEPORT, LA 71115-2502
Phone number: 318-470-0447
Mailing Address
-- JENNA VAN MSN
506 ROCK HOLLOW DR
SHREVEPORT, LA 71115-2502
Phone number: 318-470-0447
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