Individual
JACK SUTTON FENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
427 PRESTONWOOD DR, SHREVEPORT, LA 71115-3723
(318) 344-3686
Mailing address
427 PRESTONWOOD DR, SHREVEPORT, LA 71115-3723
(318) 344-3686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
012122580
LA
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us