Individual provider · Type 1 NPI
Jennifer Brocato Diecidue, RN
School Registered Nurse · Slidell, LA
NPI number
1083350540
Active
Practice location
575 N Caleb Dr
Slidell, LA 70461-5713
Mailing address
63829 Highway 11
Pearl River, LA 70452-3482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| School Registered Nurse Primary | 163WS0200X | RN108978 (LA) |
School Registered Nurse: Definition to come...
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About NPI 1083350540
Jennifer Brocato Diecidue, RN's National Provider Identifier is 1083350540, issued on May 9, 2022. The primary taxonomy on file is School Registered Nurse (163WS0200X), and the practice location is in Slidell, LA. The record was last updated on May 9, 2022.