Individual
JENNIFER DORAND GUILLORY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4405 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4957
(985) 893-8505
(985) 893-0093
Mailing address
4405 HIGHWAY 190 EAST SERVICE RD, COVINGTON, LA 70433-4957
(985) 893-8505
(985) 893-0093
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP07957
LA
Other
Enumeration date
07/23/2014
Last updated
07/23/2014
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