Individual
MRS. JENA MILLER ROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2932 STAGG AVE, STE A, BASILE, LA 70515-5560
(337) 432-5552
(337) 432-5553
Mailing address
2932 STAGG AVE, STE A, BASILE, LA 70515-5560
(337) 432-5552
(337) 432-5553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN115486-AP06059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116479
—
LA
Enumeration date
03/01/2010
Last updated
10/11/2011
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