Individual
MRS. JENNIFER ANN CALVERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2456
Mailing address
1120 BROOKHAVEN AVE, RUSTON, LA 71270-8505
(318) 255-1739
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09524
LA
Other
Enumeration date
08/09/2017
Last updated
08/09/2017
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