Individual provider · Type 1 NPI

Jenna Nicole Blundell, FNP

Nurse Practitioner · Shreveport, LA

NPI number 1144829540 Active

Practice location

1811 E Bert Kouns Industrial Loop Ste 210
Shreveport, LA 71105-5740

Mailing address

122 Ragan Ln
Haughton, LA 71037-8994

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X216026 (LA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1144829540

Jenna Nicole Blundell, FNP's National Provider Identifier is 1144829540, issued on Oct 19, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Shreveport, LA. The record was last updated on Jun 18, 2021.