Rodrigue, Jennifer D

Rodrigue, Jennifer D is an individual health care provider with primary practice located at 604 N Acadia Rd Ste 200 , Thibodaux LA 70301-4897. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Rodrigue, Jennifer D can be contacted via phone (985) 448-3700.

Contact Information

Primary practice address
604 N Acadia Rd Ste 200 Thibodaux LA 70301-4897
Phone: (985) 448-3700
Fax: (985) 448-3900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN103839-AP06067 Louisiana

Profile Details

NPI number 1649594441
LBN Legal business name Rodrigue, Jennifer D
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2010
Last updated Feb 24th, 2016 - about 9 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 1649594441 NPPES
Louisiana MEDICAID 2104535

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