Individual
DR. JESSICA R LE NOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
760 EAST AVE, PENSACOLA, FL 32508-5136
(850) 452-8970
Mailing address
113 LIELMANIS AVE, HURLBURT FIELD, FL 32544-5613
(850) 881-1020
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
5101024408
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2017
Last updated
06/13/2024
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