Individual provider · Type 1 NPI
Jennifer Michelle Middleton, NP
Gerontology Nurse Practitioner · Shreveport, LA
NPI number
1255843801
Active
Practice location
7505 Pines Rd Ste 1235
Shreveport, LA 71129-3900
Mailing address
6900 Buncombe Rd Lot 61
Shreveport, LA 71129-9496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner Primary | 363LG0600X | AG07170253 (LA) |
Gerontology Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1255843801
Jennifer Michelle Middleton, NP's National Provider Identifier is 1255843801, issued on Nov 3, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shreveport, LA. The record was last updated on Nov 3, 2017.