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Jennings Pediatric Center, Llc
Clinic/Center in Jennings, Louisiana
NPI 1821507542

Jennings Pediatric Center, Llc is a Clinic/Center based in Jennings, LA. Jennings Pediatric Center, Llc practices in Jennings, LA. The NPI Number for Jennings Pediatric Center, Llc is 1821507542 and holds a License No. 08542R (Louisiana).

The current practice location address for Jennings Pediatric Center, Llc is 1615 Johnson St Ste A, Jennings, LA and can be reached out via phone at 337-824-3446 and via fax at 337-824-7990.

Location: 1615 Johnson St Ste A, Jennings, LA, 70546-3650
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821507542
Provider Name
Jennings Pediatric Center, Llc
Credential
Provider Entity Type
Organization
Address
1615 Johnson St Ste A, Jennings, LA, 70546-3650
Phone Number
337-824-3446
Fax Number
337-824-7990
Provider Enumeration Date
09/26/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1649651571 05 LA
institution
Provider Business Practice Location Address Details
Address
1615 Johnson St Ste A
City
Jennings
State
Louisiana
Zip
70546-3650
Phone Number
337-824-3446
Fax Number
337-824-7990
person
Provider Business Mailing Address Details
Address
1615 Johnson St Ste A
City
Jennings
State
Louisiana
Zip
70546-3650
Phone Number
337-824-3446
Fax Number
337-824-7990
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
08542R (Louisiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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