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Organization
JUSTJEN,LLC
Active
Organization
JUSTJEN,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER STIERWALD RNFA (CEO)
(504) 952-0523
Entity
Organization
Contact information
Practice address
50 TUPELO TRCE, MANDEVILLE, LA 70471-6742
(504) 952-0523
Mailing address
50 TUPELO TRCE, MANDEVILLE, LA 70471-6742
(504) 952-0523
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
NULL
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447723853
N/A
LA
Enumeration date
01/23/2019
Last updated
01/23/2019
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