# JUSTJEN,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003370107
- **Authorized official:** JENNIFER STIERWALD RNFA (CEO)
- **Authorized official phone:** (504) 952-0523

## Contact information

- **Practice address:** 50 TUPELO TRCE, MANDEVILLE, LA 70471-6742
- **Practice address phone:** (504) 952-0523
- **Mailing address:** 50 TUPELO TRCE, MANDEVILLE, LA 70471-6742
- **Mailing address phone:** (504) 952-0523

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | — | NULL | Yes |
| 163WR0006X | Registered Nurse First Assistant | — | — | Yes |

## Other

- **Enumeration date:** 01/23/2019
- **Last updated:** 01/23/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1447723853 | N/A | LA |
