JADEBREY VYSHETTE KENNON

SHREVEPORT, LA
NPI1518574441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  212198)
Enumeration Date2020-09-24
Last Update Date2020-09-24
Business Address
JADEBREY VYSHETTE KENNON PMHNP-BC
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
Mailing Address
JADEBREY VYSHETTE KENNON PMHNP-BC
2506 SUNDSVALL CT
SHREVEPORT, LA 71118-4520
Phone number: