Individual
JESSICA GRANIER FAJONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1434
(985) 345-2700
Mailing address
47036 RANDALL RD, HAMMOND, LA 70401-6420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN147076
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
213895
LA
Other
Enumeration date
04/07/2020
Last updated
11/06/2025
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