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Individual

JENNIFER MYERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5701 AMBASSADOR CAFFERY PKWY, YOUNGSVILLE, LA 70592-5181
(337) 456-3323
(337) 456-4638
Mailing address
5701 AMBASSADOR CAFFERY PKWY, YOUNGSVILLE, LA 70592-5181
(337) 456-3323
(337) 456-4638

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
202110
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00740193
PALMETTO GBA - RAILROAD MEDICARE
LA
Enumeration date
05/29/2007
Last updated
02/10/2021
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