Active NPI
Jennilee Jackson Stowell, APRN,PNP-BC
- Pediatrics Physician
- Sulphur, LA
National Provider Identifier
1134419609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 110696
- Practice address
- 600 Cypress St
Sulphur, LA 70663-5052 - Phone
- (337) 527-6371
- Fax
- (337) 528-9616
- NPI assigned
- Apr 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 110696 | LA | Primary |
Addresses
Primary practice location
600 Cypress St
Sulphur, LA 70663-5052
Mailing address
600 Cypress St
Sulphur, LA 70663-5052
Phone (337) 527-6371
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110696 | LA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303084800000",
"number": "1134419609",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 CYPRESS ST",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706635052",
"telephone_number": "337-527-6371",
"fax_number": "337-528-9616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 CYPRESS ST",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706635052",
"telephone_number": "337-527-6371",
"fax_number": "337-528-9616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOWELL",
"first_name": "JENNILEE",
"middle_name": "JACKSON",
"credential": "APRN,PNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-18",
"last_updated": "2011-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "110696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.