Organization
TKJ HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA KEMPTON-JEREZ NP (SOLE MEMBER)
(504) 451-7066
Entity
Organization
Contact information
Practice address
719 AVENUE G, KENTWOOD, LA 70444-2601
(504) 451-7066
Mailing address
585 E CYPRESS ST, PONCHATOULA, LA 70454-2737
(504) 451-7066
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07453
LA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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