Individual
JENNIFER ST. ROMAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
721 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-5501
(985) 229-6828
Mailing address
721 AVENUE G, KENTWOOD, LA 70444-2601
(985) 229-5501
(985) 229-5828
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP04910
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1369667
—
LA
Enumeration date
06/15/2006
Last updated
11/16/2011
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