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Individual

MRS. JENNIFER ALLEN LONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.N.C.,W.H.N.P.

Contact information

Practice address
2449 HOSPITAL DR STE 260, BOSSIER CITY, LA 71111-1909
(318) 212-7840
(318) 212-7845
Mailing address
2449 HOSPITAL DR STE 260, BOSSIER CITY, LA 71111-1909
(318) 212-7840
(318) 212-7845

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP04141
LA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
RN071817 AP04141
LA

Other

Enumeration date
10/02/2006
Last updated
03/06/2025
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