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Individual

MRS. JENNIFER BRIDGES LOUQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
5131 ODONOVAN DR STE 100, BATON ROUGE, LA 70808-4791
(225) 767-4893
(225) 767-5494
Mailing address
5131 ODONOVAN DR STE 100, BATON ROUGE, LA 70808-4791
(225) 767-4893
(225) 767-5494

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05560
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1310387
LA
05
NA
LA
Enumeration date
08/26/2008
Last updated
07/07/2022
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