Individual
THERESA KENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
(504) 842-3000
Mailing address
1514 JEFFERSON HWY, JEFFERSON, LA 70121-2429
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08010
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08754067
—
MS
05
—
2380729
—
LA
Enumeration date
08/26/2014
Last updated
02/26/2015
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