Individual
JENNIFER M STARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1402 S MAGNOLIA ST STE K, HAMMOND, LA 70403-5020
(985) 956-7127
Mailing address
1019 BELLECASTLE ST, NEW ORLEANS, LA 70115-3030
(504) 920-9488
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
220613
LA
363LF0000X
Family Nurse Practitioner
Primary
220613
LA
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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