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Individual

MRS. JORDYN MANUEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
1 GALLERIA BLVD STE 110, METAIRIE, LA 70001-8501
(504) 708-4400
Mailing address
46050 GOLD PLACE RD, SAINT AMANT, LA 70774-3708
(225) 247-8542

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219376
LA

Other

Enumeration date
12/16/2021
Last updated
12/16/2021
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