Bourgeois, Jenna Martin
Bourgeois, Jenna Martin is an individual health care provider with primary practice located at 8777 Bluebonnet Blvd Suite A, Baton Rouge LA 70810-2975. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Bourgeois, Jenna Martin can be contacted via phone (225) 432-0000.Contact Information
Primary practice address
8777 Bluebonnet Blvd Suite A
Baton Rouge LA 70810-2975
Phone: (225) 432-0000
Fax: (225) 766-1995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 304332 | Louisiana |
Profile Details
| NPI number | 1942590153 |
|---|---|
| LBN Legal business name | Bourgeois, Jenna Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2011 |
| Last updated | Oct 6th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942590153 | NPPES |
| Louisiana | MEDICAID | 2441574 |
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