Individual
JENNIFER NINH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7829 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 797-8777
Mailing address
7829 YOUREE DR, SHREVEPORT, LA 71105-5505
(318) 797-8777
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
225974
LA
Other
Enumeration date
06/16/2022
Last updated
06/21/2022
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