Provider Demographics
NPI:1518406644
Name:NAVARRE, JENNIFER VEAZIE (NP)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:VEAZIE
Last Name:NAVARRE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 84460
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70884-4460
Mailing Address - Country:US
Mailing Address - Phone:225-526-0013
Mailing Address - Fax:225-765-9196
Practice Address - Street 1:501 W SAINT MARY BLVD STE 320
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70506-4693
Practice Address - Country:US
Practice Address - Phone:337-470-3120
Practice Address - Fax:337-470-2320
Is Sole Proprietor?:No
Enumeration Date:2017-02-22
Last Update Date:2021-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP09209363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily