Individual
MRS. PATSY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4809 AMBASSADOR CAFFERY PKWY, SUITE 490, LAFAYETTE, LA 70508-8800
(337) 981-8131
(337) 989-1316
Mailing address
4809 AMBASSADOR CAFFERY PKWY, SUITE 490, LAFAYETTE, LA 70508-8800
(337) 981-8131
(337) 989-1316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN066991
LA
363L00000X
Nurse Practitioner
AP04573
LA
363LF0000X
Family Nurse Practitioner
Primary
AP04573
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1471313
—
LA
01
—
RN066991
STATE LICENSE NUMBER
LA
Enumeration date
07/27/2006
Last updated
07/28/2017
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