# JEANIE LANDES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1891140430
- **Gender:** F
- **Credential:** RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 120582 | LA | — |
| 207R00000X | Internal Medicine Physician | 74826 | NM | Yes |
| 363L00000X | Nurse Practitioner | 74826 | NM | — |
| 363LF0000X | Family Nurse Practitioner | 200449 | LA | — |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 10/20/2023