Individual
JENAE VENTRESS POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
16414 CONFEDERATE AVE, BATON ROUGE, LA 70817-3629
(225) 456-7380
Mailing address
16414 CONFEDERATE AVE, BATON ROUGE, LA 70817-3629
(225) 456-7380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09995
LA
Other
Enumeration date
07/02/2018
Last updated
08/09/2021
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