Individual
JENNIFER CAMERON HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5948 N MARKET ST, SHREVEPORT, LA 71107-2017
(318) 375-0001
(318) 375-0002
Mailing address
5948 N MARKET ST, SHREVEPORT, LA 71107-2017
(318) 375-0001
(318) 375-0002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN110584APO5876
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2197711
—
LA
01
—
AP05876
LICENSE
LA
Enumeration date
08/05/2009
Last updated
06/07/2023
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