Jennifer D Balano-Taylor

Individual provider Active NPI Case Manager/Care Coordinator · Many, LA

NPI 1194254805 · NPPES record last updated Jul 26, 2018

Key facts

NPI
1194254805
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
305 S Highland Dr
Many, LA 71449
Phone
(318) 256-5200
NPI assigned
Jun 6, 2017
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

305 S Highland Dr
Many, LA 71449

Mailing address

1301 Youree Dr
Shreveport, LA 71101-5117

Other providers in Many, LA

All providers in Many, LA · Case Manager/Care Coordinator in Louisiana

Sources for this page

Verify at the official NPI Registry.