Individual
MRS. JENNIFER BAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
700 GAUSE BLVD, SUITE 201, SLIDELL, LA 70458-2800
(504) 455-2446
Mailing address
700 GAUSE BLVD, SUITE 201, SLIDELL, LA 70458-2800
(985) 768-1923
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN123000
LA
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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