Individual
JOURDAN PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15790 PAUL VEGA MD DR, HAMMOND, LA 70403-1436
(985) 230-1683
(985) 230-6652
Mailing address
PO BOX 3087, HAMMOND, LA 70404-3087
(985) 230-3668
(985) 370-7409
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
210738
LA
Other
Enumeration date
03/04/2020
Last updated
08/18/2021
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