Individual
JENNIFER ASHLEY WAINWRIGHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
2770 3RD AVE STE 350, LAKE CHARLES, LA 70601-0404
(337) 494-2750
(337) 494-2760
Mailing address
PO BOX 122309 DEPT 2309, DALLAS, TX 75312-2309
(337) 494-2921
(337) 494-6523
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06939
LA
364SF0001X
Family Health Clinical Nurse Specialist
AP06939
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2336819
—
LA
01
—
AP06939
STATE NP LICENSE
LA
Enumeration date
11/05/2012
Last updated
04/28/2022
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