Individual
JEANNE KATHARYN DISPENZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
12525 PERKINS RD, STE B, BATON ROUGE, LA 70810-1907
(225) 765-8341
(225) 767-6822
Mailing address
834 WATERTON CT, BATON ROUGE, LA 70819-3354
(225) 765-8341
(225) 767-6822
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
739805
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
AP06016
LA
Other
Enumeration date
09/18/2007
Last updated
06/15/2015
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