Individual
JACKLYN LEE LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5000 HENNESSY BLVD, ER DEPT, BATON ROUGE, LA 70808-4375
(225) 765-7163
(405) 844-1794
Mailing address
DEPT AT952639, ATLANTA, GA 31192-2639
(225) 765-7163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08153
LA
Other
Enumeration date
01/23/2015
Last updated
01/23/2015
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