Individual
JENNIFER O'NEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
818 MONTROSE DR STE B, SHREVEPORT, LA 71106-2012
(337) 302-5453
Mailing address
8702 GLEN HAVEN DR, SHREVEPORT, LA 71106-6222
(337) 302-5453
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
304481
LA
207Q00000X
Family Medicine Physician
Primary
MD304481
LA
Other
Enumeration date
04/09/2015
Last updated
08/16/2024
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