Individual provider · Type 1 NPI
Jennifer Haley Waddle, WHCNP
Women's Health Nurse Practitioner · Shreveport, LA
NPI number
1366656787
Active
Practice location
2508 Bert Koun Loop, Suite 201
Shreveport, LA 71118-3133
Fax (318) 212-5795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Women's Health Nurse Practitioner Primary | 363LW0102X | AP04789 (LA) |
Women's Health Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1366656787
Jennifer Haley Waddle, WHCNP's National Provider Identifier is 1366656787, issued on May 9, 2007. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Shreveport, LA. The record was last updated on Apr 13, 2016.