# JENNIFER MIDGETT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premier Pediatrics of Louisiana
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740769082
- **Authorized official:** JENNIFER MIDGETT FNP (OWNER)
- **Authorized official phone:** (337) 221-3075

## Contact information

- **Practice address:** 2581 HIGHWAY 190 W, DERIDDER, LA 70634-6056
- **Practice address phone:** (337) 221-3075
- **Practice address fax:** (337) 221-3076
- **Mailing address:** PO BOX 1146, DERIDDER, LA 70634-1146
- **Mailing address phone:** (337) 221-3075
- **Mailing address fax:** (337) 221-3076

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | AP09115 | LA | Yes |

## Other

- **Enumeration date:** 08/08/2018
- **Last updated:** 08/08/2018