# J.L. NURSE PRACTITIONER, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1013575695
- **Authorized official:** MS. JENNIFER L PERRY NP (PMHNP)
- **Authorized official phone:** (318) 229-6164

## Contact information

- **Practice address:** 1635 MARVEL ST, COUSHATTA, LA 71019-9022
- **Practice address phone:** (318) 932-2081
- **Practice address fax:** (318) 932-2215
- **Mailing address:** 5909 PATSY DELL DR, ALEXANDRIA, LA 71303-7027
- **Mailing address phone:** (318) 229-6164
- **Mailing address fax:** (318) 443-9116

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/30/2019
- **Last updated:** 06/11/2020