Most Relevant Information
Provider Data
| NPI Number: | 1003570797 |
| Provider Name: | BEVERLY ANN JENNINGS |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/28/2021 |
| Last Updated: | 10/28/2021 |
Provider Practice Location
12628 HOOPER RD STE C
BATON ROUGE
LA
708183527
Practice Location Phone/Fax
| Phone: | 2259538170 |
| Fax: |
Provider Mailing Location
12628 HOOPER RD STE C
BATON ROUGE
LA
708183527
Provider Mailing Phone/Fax
| Phone: | 1225953817 |
| Fax: |