Organization
JENNIFER MIDGETT, LLC
Active
Other names
Premier Pediatrics of Louisiana
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MIDGETT FNP (OWNER)
(337) 221-3075
Entity
Organization
Contact information
Practice address
2581 HIGHWAY 190 W, DERIDDER, LA 70634-6056
(337) 221-3075
(337) 221-3076
Mailing address
PO BOX 1146, DERIDDER, LA 70634-1146
(337) 221-3075
(337) 221-3076
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP09115
LA
Other
Enumeration date
08/08/2018
Last updated
08/08/2018
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