Individual
JERNAIL REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 MOONEY AVE, HAMMOND, LA 70403-5921
(985) 662-8940
Mailing address
1111 MOONEY AVE, HAMMOND, LA 70403-5921
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
10714
LA
Other
Enumeration date
01/20/2016
Last updated
05/16/2019
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