Individual
MS. JENNIFER LEVINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
612 S. FARMERVILLE STREET, RUSTON, LA 71270
(318) 436-2600
(318) 436-2601
Mailing address
PO BOX 445, RUSTON, LA 71273-0445
(318) 436-2600
(318) 436-2601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN099522
LA
363LP0200X
Pediatric Nurse Practitioner
Primary
AP05230
LA
Other
Enumeration date
02/11/2008
Last updated
04/19/2019
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