Individual
JENNIFER CRIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3600 FLORIDA BLVD, BATON ROUGE, LA 70806-3842
(225) 387-7870
Mailing address
18378 THREE BARS DR, BATON ROUGE, LA 70817-0707
(225) 756-8950
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
13361R
LA
207P00000X
Emergency Medicine Physician
16892
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043834
—
LA
Enumeration date
06/11/2006
Last updated
09/04/2013
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