Individual
JILLENE AMOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2005 VETERANS MEMORIAL BLVD, METAIRIE, LA 70002-6320
(504) 836-9820
Mailing address
1514 JEFFERSON HWY, NEW ORLEANS, LA 70121-2429
(504) 842-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
61009
ID
363LF0000X
Family Nurse Practitioner
Primary
230298
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6653241
6653241
—
Enumeration date
04/02/2018
Last updated
10/03/2023
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