Individual
AJA HALLMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2408 BROADMOOR BLVD STE B, MONROE, LA 71201-2994
(318) 807-0525
(318) 807-1077
Mailing address
5959 S SHERWOOD FOREST BLVD, BATON ROUGE, LA 70816-6038
(318) 966-4000
(225) 765-9196
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221219
LA
Other
Enumeration date
07/11/2021
Last updated
05/19/2023
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