person
Mrs. Jennifer Haley Waddle, WHCNP
Women's Health Nurse Practitioner in Shreveport, Louisiana
NPI 1366656787

Jennifer Haley Waddle is a Women's Health Nurse Practitioner based in Shreveport, LA and is specialized in Women's Health. Jennifer Haley Waddle practices in Shreveport, LA and has the professional credentials of WHCNP. The NPI Number for Jennifer Haley Waddle is 1366656787 and holds a License No. AP04789 (Louisiana).

The current practice location address for Jennifer Haley Waddle is 2508 Bert Koun Loop, Shreveport, LA and can be reached out via phone at 318-212-5790 and via fax at 318-212-5795.

Location: 2508 Bert Koun Loop, Shreveport, LA, 71118-3133
person
Provider Profile Details
NPI Number
1366656787
Provider Name
Jennifer Haley Waddle
Credential
WHCNP
Provider Entity Type
Individual
Gender
Female
Address
2508 Bert Koun Loop, Shreveport, LA, 71118-3133
Phone Number
318-212-5790
Fax Number
318-212-5795
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
AP04789 01 LA APRN
RN098243 01 LA LICENSE---NURSING
institution
Provider Business Practice Location Address Details
Address
2508 Bert Koun Loop
City
State
Zip
71118-3133
Phone Number
318-212-5790
Fax Number
318-212-5795
person
Provider Business Mailing Address Details
Address
2508 Bert Koun Loop
City
State
Zip
71118-3133
Phone Number
318-212-5790
Fax Number
318-212-5795
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Women's Health
Taxonomy
License No.
AP04789 (Louisiana)
Definition
Definition to come...
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