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Individual

JEFFREY J STEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
ACNP

Contact information

Practice address
1970 N HWY 190, COVINGTON, LA 70433
(985) 867-8585
(985) 867-3644
Mailing address
901 GAUSE BLVD, STE 200, SLIDELL, LA 70458-2949
(985) 867-8585
(985) 867-3644

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
082172
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1113174
LA
Enumeration date
06/01/2005
Last updated
12/13/2017
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