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Individual

JENNIFER L. LEBLANC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
4950 ESSEN LN, SUITE 400, BATON ROUGE, LA 70809-3738
(225) 767-4893
(225) 767-5494
Mailing address
PO BOX 83130, BATON ROUGE, LA 70884-3130
(225) 767-4893
(225) 767-5494

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN081227
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1161012
LA
Enumeration date
11/01/2006
Last updated
01/22/2010
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