Most Relevant Information
Provider Data
| NPI Number: | 1003431917 |
| Provider Name: | KATHERINE JERNIGAN |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2020 |
| Last Updated: | 06/16/2020 |
Provider Practice Location
2285 BENTON RD STE D103
BOSSIER CITY
LA
711113465
Practice Location Phone/Fax
| Phone: | 3185847197 |
| Fax: | 3185847080 |
Provider Mailing Location
2285 BENTON RD STE D103
BOSSIER CITY
LA
711113465
Provider Mailing Phone/Fax
| Phone: | 3185847197 |
| Fax: | 3185847080 |