Waddle, Jennifer Haley

Waddle, Jennifer Haley is an sole proprietor health care provider with primary practice located at 2508 Bert Koun Loop Suite 201, Shreveport LA 71118-3133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Waddle, Jennifer Haley can be contacted via phone (318) 212-5790.

Contact Information

Primary practice address
2508 Bert Koun Loop Suite 201 Shreveport LA 71118-3133
Phone: (318) 212-5790
Fax: (318) 212-5795
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X AP04789 Louisiana

Profile Details

NPI number 1366656787
LBN Legal business name Waddle, Jennifer Haley
Credentials WHCNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 9th, 2007
Last updated Apr 13th, 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 1366656787 NPPES
Louisiana Other AP04789 APRN
Louisiana Other RN098243 APRN

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