Individual
JENNIFER RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
15770 PAUL VEGA MD DR STE 108A, HAMMOND, LA 70403-1475
(985) 230-1870
(985) 230-1871
Mailing address
PO BOX 3087, CREDENTIALING, HAMMOND, LA 70404-3087
(852) 301-6829
(985) 320-6652
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
301221
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2415735
—
LA
Enumeration date
03/31/2016
Last updated
12/30/2022
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