Individual
JENNIFER K ELLERBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
901 N 4TH ST, MONROE, LA 71201-5909
(318) 387-7817
(318) 322-0914
Mailing address
901 N 4TH ST, MONROE, LA 71201-5909
(318) 387-7817
(318) 322-0914
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN046467
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002178
—
LA
Enumeration date
08/28/2007
Last updated
08/28/2007
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