Individual
MRS. JENNA JO BEHLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4910 HIGHWAY 22, MANDEVILLE, LA 70471
(985) 778-0788
Mailing address
4910 HIGHWAY 22, MANDEVILLE, LA 70471-2813
(985) 778-0788
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN.1637012
CO
363LF0000X
Family Nurse Practitioner
Primary
213925
LA
363LF0000X
Family Nurse Practitioner
APN.0995256-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
213925
STATE LICENSE
LA
Enumeration date
12/08/2019
Last updated
03/14/2025
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