Individual
JENNIFER R MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
401 S WASHINGTON ST, DERIDDER, LA 70634-4863
(337) 515-4537
(337) 460-1348
Mailing address
401 S WASHINGTON ST, DERIDDER, LA 70634-4863
(337) 515-4537
(337) 460-1348
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
201272
LA
207VX0000X
Obstetrics Physician
201272
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093271
—
LA
05
—
201988701
—
TX
Enumeration date
06/04/2007
Last updated
08/15/2024
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