Jennifer Haley Waddle WHCNP

NPI 1366656787 - Registered Nurse - 163W00000X

NPI Details
NPI 1366656787
Gender Female
Enumeration Date 05/09/2007
Last Updated 04/13/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
2508 BERT KOUN LOOP
SUITE 201
SHREVEPORT LA, 71118-3133, US
Phone (318) 212-5790
Fax (318) 212-5795
Business Location
2508 BERT KOUN LOOP
SUITE 201
SHREVEPORT LA, 71118-3133, US
Phone (318) 212-5790
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Louisiana
License Number RN098243
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According to our database, Mrs. Jennifer Haley Waddle WHCNP NPI is 1366656787, taxonomy code is 163W00000X and license number is RN098243, license state is located at Louisiana. Jennifer Haley Waddle WHCNP physically located at 2508 Bert Koun Loop, Shreveport LA, 71118-3133. NPI Number Jennifer Haley Waddle WHCNP has the Individual type.

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1366656787 NPI number is provided on an as is basis without warranty of any kind. 1366656787 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer Haley Waddle WHCNP are for informational purposes only.