Provider Demographics
NPI:1720712151
Name:BIGNAR, JENENE (MS, CCC-SLP)
Entity Type:Individual
Prefix:MRS
First Name:JENENE
Middle Name:
Last Name:BIGNAR
Suffix:
Gender:F
Credentials:MS, CCC-SLP
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 90
Mailing Address - Street 2:
Mailing Address - City:JENA
Mailing Address - State:LA
Mailing Address - Zip Code:71342-0090
Mailing Address - Country:US
Mailing Address - Phone:318-992-5971
Mailing Address - Fax:318-992-8268
Practice Address - Street 1:309 EAST HIGH SCHOOL DRIVE
Practice Address - Street 2:
Practice Address - City:JENA
Practice Address - State:LA
Practice Address - Zip Code:71342
Practice Address - Country:US
Practice Address - Phone:318-992-5971
Practice Address - Fax:318-992-8268
Is Sole Proprietor?:No
Enumeration Date:2022-07-12
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5837235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist