Individual provider · Type 1 NPI

Jared R. Whitehead, A.P.R.N.

Adult Health Nurse Practitioner · Lake Charles, LA

NPI number 1528356367 Active

Practice location

1727 Imperial Blvd, Bldg 2
Lake Charles, LA 70605-5362

Fax (337) 421-1443

Mailing address

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner Primary 363LA2200XAP06501 (LA)

Adult Health Nurse Practitioner: Definition to come...

4 other providers at this address

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About NPI 1528356367

Jared R. Whitehead, A.P.R.N.'s National Provider Identifier is 1528356367, issued on Jul 14, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Lake Charles, LA. The record was last updated on Apr 13, 2017.