Individual
MRS. JEANNE DANOS KAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP
Contact information
Practice address
1010 S POLK ST, COVINGTON, LA 70433-2474
(985) 871-5975
Mailing address
1010 S POLK ST, COVINGTON, LA 70433-2474
(985) 871-5975
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
218852
LA
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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