Healthcare Provider Details

I. General information

NPI: 1669663985
Provider Name (Legal Business Name): JONI JAYNE SAIA RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2007
Last Update Date: 08/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1850 GAUSE BLVD. SUITE 201
SLIDELL LA
70461
US

IV. Provider business mailing address

1850 GAUSE BLVD. SUITE 201
SLIDELL LA
70461
US

V. Phone/Fax

Practice location:
  • Phone: 985-649-5825
  • Fax: 985-645-0884
Mailing address:
  • Phone: 985-649-5825
  • Fax: 985-645-0884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0000X
TaxonomyPain Management Registered Nurse
License NumberRN101185
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: