MEDICARE: JENNIFER RHONDA POCHE NP

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
1	363LF0000X	Family Nurse Practitioner	AP207258	LA
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP207258	LA

General Provider Information

NPI Number	:	1134781172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER RHONDA POCHE NP

Provider Business Mailing Address
First Line	:	711 BOCAGE LN
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70471-1607
Country	:	US
Telephone Number	:	504-782-0541
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 BOCAGE LN
Second Line	:
City	:	MANDEVILLE
State	:	LA
Zip	:	70471-1607
Country	:	US
Telephone Number	:	504-782-0541
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/29/2019
Last Update Date	:	05/06/2026

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