Individual
JACQUELINE PARKS WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MSN, CMSRN
Contact information
Practice address
657 WRIGHT AVE, TERRYTOWN, LA 70056-4037
(504) 812-1344
Mailing address
657 WRIGHT AVE, TERRYTOWN, LA 70056-4037
(504) 812-1344
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
RN094472
LA
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN094472
LA
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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