Individual
JENNY MADERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1125 W HIGHWAY 30, GONZALES, LA 70737-5004
(225) 647-5012
Mailing address
PO BOX 215, SAINT AMANT, LA 70774-0215
(225) 558-6064
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07208
LA
Other
Enumeration date
03/26/2013
Last updated
04/23/2013
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