Healthcare Provider Details

I. General information

NPI: 1205239316
Provider Name (Legal Business Name): JENNIFER HUDGENS FLEMING DNP, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER HUDGENS DNP, APRN

II. Dates (important events)

Enumeration Date: 10/02/2014
Last Update Date: 08/05/2021
Certification Date: 08/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2500 BELLE CHASSE HWY
TERRYTOWN LA
70056-7127
US

IV. Provider business mailing address

5245 MAGAZINE ST
NEW ORLEANS LA
70115-1851
US

V. Phone/Fax

Practice location:
  • Phone: 504-392-3131
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberAP07945
License Number StateLA
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP07945
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: