Individual
JENNIFER S STAUTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 GAUSE BLVD, SLIDELL, LA 70458-2939
(985) 280-8743
(985) 280-8554
Mailing address
2375 GAUSE BLVD E, SLIDELL, LA 70461-4142
(985) 280-8743
(985) 280-8554
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN117335
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08191
LA
Other
Enumeration date
12/03/2014
Last updated
06/21/2019
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