| Jennings Family Healthcare, Llc | |
|
1914 Johnson St Jennings LA 70546-3628 | |
| (337) 246-3210 | |
| Not Available |
| Full Name | Jennings Family Healthcare, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1914 Johnson St, Jennings, Louisiana |
| Authorized Official Name and Position | Nicole Doucet (MANAGER) |
| Authorized Official Contact | 3372756915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennings Family Healthcare, Llc 442 W Hoyt Ave Crowley LA 70526-6719 Ph: (133) 727-5691 | Jennings Family Healthcare, Llc 1914 Johnson St Jennings LA 70546-3628 Ph: (337) 246-3210 |
| NPI Number | 1366217788 |
|---|---|
| Provider Enumeration Date | 11/15/2023 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 5799121752 |
|---|---|
| Medicare Enrollment ID | O20240312004112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366217788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Nicole H Doucet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174520035 PECOS PAC ID: 4880759315 Enrollment ID: I20090218000029 |
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