Individual
RENEY REED FONTENOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
437 N MARKET ST, JENNINGS, LA 70546-5857
(337) 246-7325
Mailing address
437 N MARKET ST, JENNINGS, LA 70546-5857
(337) 246-7325
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
122478
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
235945
LA
Other
Enumeration date
07/11/2024
Last updated
09/19/2024
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