Provider Demographics
NPI:1396625331
Name:ST MARTIN, JENEA
Entity type:Individual
Prefix:
First Name:JENEA
Middle Name:
Last Name:ST MARTIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2729 HUDSON PL
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3855
Mailing Address - Country:US
Mailing Address - Phone:504-214-2956
Mailing Address - Fax:
Practice Address - Street 1:2401 WESTBEND PKWY STE 4040
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-2474
Practice Address - Country:US
Practice Address - Phone:504-214-2956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN148304163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool