Individual
MRS. JAMIE AVERETT KLUMPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3501 MAPLEWOOD DR, SULPHUR, LA 70663-6209
(337) 533-8913
Mailing address
3501 MAPLEWOOD DR, SULPHUR, LA 70663-6209
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP07528
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP07528
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2353900
—
LA
Enumeration date
01/08/2014
Last updated
08/05/2021
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