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Individual

JENNIFER L PERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1635 MARVEL ST, COUSHATTA, LA 71019-9022
(318) 932-2081
(318) 932-2215
Mailing address
5909 PATSY DELL DR, ALEXANDRIA, LA 71303-7027
(318) 229-6164

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200840
LA

Other

Enumeration date
01/07/2019
Last updated
06/11/2020
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