JENNA NICOLE BLUNDELL


Address: 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740
Phone: 3182123858

JENNA NICOLE BLUNDELL (NPI# 1144829540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144829540
Entity Type Individual
Full Name JENNA NICOLE BLUNDELL
Credential FNP
Practice Address 1811 E Bert Kouns Industrial Loop Ste 210
Shreveport
LA 71105-5740
Mailing Address 122 Ragan Ln
Haughton
LA 71037-8994
Practice Telephone 3182123858
Mailing Telephone 6419903361
Enumeration Date 2020-10-19
Last Update Date 2020-10-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 216026 LA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1811 E BERT KOUNS INDUSTRIAL LOOP STE 210
City SHREVEPORT
State LA
Zip Code 71105-5740

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184720393 Joseph L. Fredi Internal Medicine 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105 2006-09-15
1336759224 Kaitlyn Nicole Cauffman Nurse Practitioner 1811 E Bert Kouns Industrial Loop Ste 210, Shreveport, LA 71105-5740 2020-08-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699245928 Misty Johnetta Ross Counselor 2942 Knight St., Bldg. 4 Suite 426, Shreveport, LA 71105 2018-11-29
1205301868 Tatjhana Maury Case Manager/Care Coordinator 3325 Youree Drive, Shreveport, LA 71105 2018-10-10
1245710920 Jefferey Douglas Adair Md Non-Pharmacy Dispensing Site 8860 Fern Ave., Suite 120, Shreveport, LA 71105 2018-08-21
1679059539 Michael E Woolbert Dds LLC Dentist 7600 Fern Avenue, Building 1100, Shreveport, LA 71105 2018-07-13
1881195675 Adiba Bibi Pharmacist 3555 Greenwood Road, Walgreens, Shreveport, LA 71105 2018-02-27
1740796655 Allison Borel Counselor 2020 E 70th St Ste 201, Shreveport, LA 71105 2017-12-15
1073028148 Valerie Wooten Barcelona Physical Therapist 130 Kayla Street, Shreveport, LA 71105 2017-12-11
1710497615 Jimmy Carroll Counselor 2960 Knight St, Suite 110, Shreveport, LA 71105 2017-10-05
1932618444 David Louis Bennett Counselor 3007 Knight St., Suite 200, Shreveport, LA 71105 2017-09-27
1619496452 Shaqwana Hodge Counselor 2920 Knight St. Suite 110, Shreveport, LA 71105 2017-09-13
Find all providers in zip 71105

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518508282 Whitney Jackson Nurse Practitioner 1549 E 70th St Ste 300, Shreveport, LA 71105-5056 2019-10-03
1407322209 Tiffany Michelle Williams Nurse Practitioner 7551 Youree Dr, Shreveport, LA 71105-5533 2018-10-18
1801334453 Katoya Johnson Nurse Practitioner 1005 Quail Creek Rd Apt A, Shreveport, LA 71105-2310 2017-02-03
1023565298 Primary Care At Home of Louisiana, LLC Nurse Practitioner 6425 Youree Dr Ste 290, One Bellemead Center, Shreveport, LA 71105-4634 2016-09-06
1457546095 Julia B Henry Nurse Practitioner 2751 Albert L Bicknell Dr Ste 2d, Shreveport, LA 71103-3939 2007-09-06
1588867485 Donna Rogers Hewitt Nurse Practitioner 1800 E 70th St, Shreveport, LA 71105-5338 2007-06-07
1134215361 Angela Birdsong Fellows Nurse Practitioner 1666 E Bert Koun Loop, Shreveport, LA 71105-5714 2006-10-05
1942220959 Tammy Rene Bennett Nurse Practitioner 1525 Fairfield Ave Ste 569, Office of Public Health, Shreveport, LA 71101-4331 2006-07-20
1134149859 John Charles Charity Nurse Practitioner 503 Broadmoor Blvd, Shreveport, LA 71105-2023 2006-07-19
1508481953 Amy Deneal Lewing Nurse Practitioner 1541 Kings Hwy, Shreveport, LA 71103-4228 2020-06-11
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Competitor

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City SHREVEPORT
Zip Code 71105

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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