Healthcare Provider Details

I. General information

NPI: 1265213276
Provider Name (Legal Business Name): JENNIFER L KUEHL MSN, APRN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2023
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 VILLAGE ST STE B
SLIDELL LA
70458-5302
US

IV. Provider business mailing address

118 VILLAGE ST STE B
SLIDELL LA
70458-5302
US

V. Phone/Fax

Practice location:
  • Phone: 985-285-7248
  • Fax: 985-333-0827
Mailing address:
  • Phone: 985-285-7248
  • Fax: 985-333-0827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number200773
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: