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NPI Code Detail

MEDICARE: JENNIFER A HARDEN RN

MEDICARE: JENNIFER A HARDEN RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN155202LA

General Provider Information

NPI Number : 1033775556
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER A HARDEN RN
Provider Business Mailing Address
First Line : PO BOX 395
Second Line :
City : CLINTON
State : LA
Zip : 70722-0395
Country : US
Telephone Number : 225-683-5292
Fax Number : 225-683-1310
Provider Business Practice Location Address
First Line : 203 ALLENDALE DR
Second Line :
City : PORT ALLEN
State : LA
Zip : 70767-3219
Country : US
Telephone Number : 225-389-1311
Fax Number : 225-389-1330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2019
Last Update Date : 05/10/2019

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