Provider Demographics
NPI:1265866099
Name:JARA, ERLINDA DELA CRUZ (FNP)
Entity Type:Individual
Prefix:MISS
First Name:ERLINDA
Middle Name:DELA CRUZ
Last Name:JARA
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 WOODHAVEN DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71201-5192
Mailing Address - Country:US
Mailing Address - Phone:318-388-0494
Mailing Address - Fax:
Practice Address - Street 1:2309 ARKANSAS RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71291-7820
Practice Address - Country:US
Practice Address - Phone:318-397-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP07516363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAPA021738OtherPRESCRIPTIVE AUTHORITY