Individual
JENNIFER R HAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
535 JEFFERSON TER, NEW IBERIA, LA 70560-4949
(337) 470-6535
(337) 470-6549
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(337) 470-6535
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07437
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2340336
—
LA
Enumeration date
07/22/2013
Last updated
10/13/2022
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