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1518574441
JADEBREY VYSHETTE KENNON
SHREVEPORT, LA
NPI
1518574441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA 212198)
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
JADEBREY VYSHETTE KENNON PMHNP-BC
1541 KINGS HWY
SHREVEPORT, LA 71103-4228
Phone number: 318-626-0000
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Mailing Address
JADEBREY VYSHETTE KENNON PMHNP-BC
2506 SUNDSVALL CT
SHREVEPORT, LA 71118-4520
Phone number:
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