J.L. Nurse Practitioner, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

J.L. NURSE PRACTITIONER, LLC

Practice address

1635 Marvel St
Coushatta, LA 71019-9022

Phone

(318) 932-2081

Fax

(318) 932-2215

NPI assigned

May 30, 2019

Last updated

Jun 11, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jennifer L Perry, NPNPI 1982177556

Title

Pmhnp

Phone

(318) 229-6164

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L Perry, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Coushatta, LA
  • NPI 1982177556
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591833600000",
    "number": "1013575695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5909 PATSY DELL DR",
            "city": "ALEXANDRIA",
            "state": "LA",
            "postal_code": "713037027",
            "telephone_number": "318-229-6164",
            "fax_number": "318-443-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 MARVEL ST",
            "city": "COUSHATTA",
            "state": "LA",
            "postal_code": "710199022",
            "telephone_number": "318-932-2081",
            "fax_number": "318-932-2215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.L. NURSE PRACTITIONER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-30",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "318-229-6164",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Coushatta, LA
• Providers in Coushatta, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.