Individual
TARA KEMPTON-JEREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
585 E CYPRESS ST, PONCHATOULA, LA 70454-2737
(225) 306-2000
Mailing address
585 E CYPRESS ST, PONCHATOULA, LA 70454-2737
(504) 451-7066
(985) 247-8230
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07453
LA
Other
Enumeration date
08/26/2013
Last updated
07/18/2017
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