Individual
MRS. JENNIFER PRENDERGAST MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2215 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6322
(504) 838-3524
Mailing address
1111 GREENGATE DR STE B, COVINGTON, LA 70433-5269
(985) 327-6095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
LA
Other
Enumeration date
09/10/2018
Last updated
08/07/2019
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