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Individual

JAIME RENEE ELDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2770 3RD AVE STE 345, LAKE CHARLES, LA 70601-8994
(337) 494-4785
(337) 494-4786
Mailing address
PO BOX 122623 DEPT 2623, DALLAS, TX 75312-2623
(337) 494-2921
(337) 494-6523

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09453
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2456873
LA
01
AP09453
STATE FNP LICENSE
LA
Enumeration date
10/12/2017
Last updated
04/27/2022
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