Provider Demographics
NPI:1801077938
Name:GUEHO, JENNIFER C (ANP)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:C
Last Name:GUEHO
Suffix:
Gender:F
Credentials:ANP
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:C
Other - Last Name:COUPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 261166
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70826-1166
Mailing Address - Country:US
Mailing Address - Phone:337-289-8978
Mailing Address - Fax:337-289-8970
Practice Address - Street 1:17505 OLD JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:PRAIRIEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70769-3930
Practice Address - Country:US
Practice Address - Phone:225-677-9547
Practice Address - Fax:225-677-8983
Is Sole Proprietor?:No
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA04808363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health