Individual
JENNIFER BONAVENTURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
15778 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
(985) 542-0663
Mailing address
15748 MEDICAL ARTS DR, HAMMOND, LA 70403-1446
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
AP09296
LA
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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