Individual
MRS. JENNIFER LAVIOLETTE VITELLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP-BC
Contact information
Practice address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7507
(985) 867-4360
Mailing address
95 JUDGE TANNER BLVD, COVINGTON, LA 70433-7507
(985) 867-4360
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP06085
LA
364SN0000X
Neonatal Clinical Nurse Specialist
AP06085
LA
Other
Enumeration date
10/01/2012
Last updated
02/21/2023
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