Individual
BRENDA A JARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-7205
Mailing address
509 W 76TH ST, SHREVEPORT, LA 71106-4103
(713) 449-3550
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN078577-AP06165
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200848401
—
TX
Enumeration date
11/29/2007
Last updated
05/06/2016
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