Individual
JENNIFER WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1111 MEDICAL CENTER BLVD., STE. S650, MARRERO, LA 70072
(504) 934-8100
(504) 349-6920
Mailing address
1111 MEDICAL CENTER BLVD., STE. S650, MARRERO, LA 70072
(504) 934-8100
(504) 349-6920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
339682
NY
Other
Enumeration date
08/17/2015
Last updated
12/28/2016
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