Individual
MRS. JENNIFER M LEMOINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN NNP
Contact information
Practice address
107 MONTROSE AVE, SUITE D, LAFAYETTE, LA 70503-3852
(337) 981-9316
(337) 981-8303
Mailing address
908 BROADMOOR BLVD, LAFAYETTE, LA 70503-5004
(337) 504-4411
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
AP04670
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP04670
ADVANCED PRACTICE LICENSE
LA
Enumeration date
07/01/2006
Last updated
07/08/2007
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