Individual
JENNY REBECCA NEIDIGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
711 IROQUOIAN DR, LAKE CHARLES, LA 70611
(337) 905-6895
(337) 905-6896
Mailing address
711 IROQUOIAN DR, LAKE CHARLES, LA 70611-4940
(337) 905-6895
(337) 905-6896
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP018169
PA
363LF0000X
Family Nurse Practitioner
Primary
204668
LA
Other
Enumeration date
09/07/2017
Last updated
04/20/2026
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