Individual
JENNIFER IMBRAGUGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4042 DESOTO ST, MANDEVILLE, LA 70471-1804
(985) 313-9810
Mailing address
4042 DESOTO ST, MANDEVILLE, LA 70471-1804
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211529
LA
Other
Enumeration date
01/23/2020
Last updated
04/16/2026
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