Individual
MS. JENNA BREANN PERTUIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
778 LIBERTY RD, FLOWOOD, MS 39232-9300
(769) 243-6141
Mailing address
845 AVENUE G, WESTWEGO, LA 70094-4424
(504) 912-8990
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
202523
LA
Other
Enumeration date
11/30/2022
Last updated
11/30/2022
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