Long, Jennifer Allen

Long, Jennifer Allen is an individual health care provider with primary practice located at 2400 Hospital Dr Ste 400 , Bossier City LA 71111-2401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Long, Jennifer Allen can be contacted via phone (318) 212-7973.

Contact Information

Primary practice address
2400 Hospital Dr Ste 400 Bossier City LA 71111-2401
Phone: (318) 212-7973
Fax: (318) 212-7836
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X RN071817 AP04141 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology 363LX0001X AP04141 Louisiana

Profile Details

NPI number 1164515169
LBN Legal business name Long, Jennifer Allen
Credentials R.N.C.,W.H.N.P.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 7th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164515169 NPPES
Louisiana MEDICAID 1133850

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