Individual
MEREDITH BANCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
237780
LA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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