MEDICARE: JENEA ST MARTIN

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	163WS0200X	School Registered Nurse	RN148304	LA

General Provider Information

NPI Number	:	1396625331
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENEA ST MARTIN

Provider Business Mailing Address
First Line	:	2729 HUDSON PL
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70131-3855
Country	:	US
Telephone Number	:	504-214-2956
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 WESTBEND PKWY STE 4040
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-2474
Country	:	US
Telephone Number	:	504-214-2956
Fax Number	:

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

Provider Enumeration Date	:	09/02/2025
Last Update Date	:	09/02/2025

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Directions to “ JENEA ST MARTIN ” Practice Location

Language	Start Address	Practice Location

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