Individual
JENA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2000 CANAL STREET, NEW ORLENAS, LA 70112
(504) 702-3000
Mailing address
101 GABRIELLE LN, DESTREHAN, LA 70047-3025
(985) 703-2840
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP10028
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AP10028
—
LA
Enumeration date
06/16/2018
Last updated
06/20/2018
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