Individual
JENNIFER MADELYN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 340-0487
Mailing address
822 S CLEARVIEW PKWY, HARAHAN, LA 70123-3401
(504) 736-7386
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN102958
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1701033
—
LA
Enumeration date
03/08/2022
Last updated
03/08/2022
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