Organization
JENA M. ROY FNP LLC
Active
Organization
JENA M. ROY FNP LLC
Active
Other names
Basile Family Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENA MILLER ROY FNP-BC (OWNER)
(337) 432-5552
Entity
Organization
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
261Q00000X
Clinic/Center
Primary
AP06059
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2116479
—
LA
Enumeration date
07/29/2011
Last updated
10/10/2011
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