Individual
KRISTEN BORDELON JEANSONNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1007 SYCAMORE ST STE B, COTTONPORT, LA 71327-3403
(800) 462-0742
(318) 964-2554
Mailing address
1007 SYCAMORE ST STE B, COTTONPORT, LA 71327-3403
(800) 462-0742
(318) 964-2554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09522
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2452657
—
LA
Enumeration date
07/25/2017
Last updated
07/21/2022
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