Individual
MRS. JENNIFER MARIE LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4150 NELSON RD, LAKE CHARLES, LA 70605-4148
(337) 656-7872
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10062
LA
363LF0000X
Family Nurse Practitioner
Primary
AP10062
LA
Other
Enumeration date
08/08/2018
Last updated
01/27/2022
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