Individual
JENNIFER KAY VILLALOBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP / PMHNP
Contact information
Practice address
189 MOZART DR, HOUMA, LA 70363-7990
(985) 868-3700
(337) 355-2335
Mailing address
1115 WEBER ST, FRANKLIN, LA 70538-4124
(337) 828-2550
(337) 355-2335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP10212
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP10212
LA
363LP2300X
Primary Care Nurse Practitioner
Primary
AP10212
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K0820
MEDICARE
LA
05
—
2486918
—
LA
Enumeration date
12/20/2018
Last updated
02/17/2025
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