Individual
JENNIFER ELIZABETH BLACKWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1920 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4970
(225) 665-0473
(225) 665-0283
Mailing address
1920 FLORIDA AVE SW, DENHAM SPRINGS, LA 70726-4970
(225) 665-0473
(225) 665-0283
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
252580
LA
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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