MRS. JENNIFER ALLEN LONG (NPI# 1164515169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164515169 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER ALLEN LONG |
| Credential | R.N.C.,W.H.N.P. |
| Practice Address |
2400 Hospital Dr Ste 400 Bossier City LA 71111-2401 |
| Practice Telephone | 3182127973 |
| Practice Fax Number | 3182127836 |
| Mailing Telephone | 3182127973 |
| Mailing Fax Number | 3182127836 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2019-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
AP04141 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
RN071817 AP04141 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1133850 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 431 Homer Rd, Minden, LA 710552933 | 3183778855 | 3183778804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215595178 | Jennifer Long | Acupuncturist | 1245 N Riverside Ave Ste 14, Medford, OR 97501-4655 | 2019-06-04 |
| 1265990501 | Jennifer Long | Chiropractor | 17280 Cherrywood Ct Unit 6002, Bonita Springs, FL 34135-8957 | 2019-03-06 |
| 1891221792 | Jennifer Mildred Long | Social Worker | 3314 16th Ave Se Ste 205, Conover, NC 28613-9694 | 2017-05-11 |
| 1164979159 | Jennifer Long | Registered Nurse | 1400 Sylvan Cir, Rochester Hills, MI 48307-2967 | 2016-09-07 |
| 1982054565 | Jennifer Elizabeth Long | Occupational Therapist | 2090 State Route 27, Suite 105, Low Vision Center of Central New Jersey, North Brunswick, NJ 08902-3450 | 2016-06-15 |
| 1154794956 | Jennifer Long | Audiologist | Uwmc Center On Human Development and Disability, 1959 Ne Pacific St., Seattle, WA 98195 | 2015-11-03 |
| 1629395538 | Jennifer Long | Pharmacist | 446 W Main St, Monongahela, PA 15063-2552 | 2010-05-01 |
| 1831334952 | Jennifer Ann Long | Counselor | 1351 Frost Avenue, Senior Recovery Program, St. Paul, MN 55109 | 2008-12-03 |
| 1669657748 | Jennifer Lynn Long | Otolaryngology | 200 Medical Plaza Suite 550, Los Angeles, CA 90095-6975 | 2008-01-08 |
| 1790830065 | Jennifer Lynn Long | Physical Therapist | 7158 Schock Rd, Palms, MI 48465-9716 | 2007-01-24 |
| Street Address |
2400 HOSPITAL DR STE 400 |
| City | BOSSIER CITY |
| State | LA |
| Zip Code | 71111-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356986178 | Womens Health Specialists of Bossier | Obstetrics & Gynecology | 2400 Hospital Dr Ste 400, Bossier City, LA 71111-2401 | 2019-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669007951 | Tamara 'tammy' Larck | Counselor | 1525 Fullilove Drive, Shreveport, LA 71111 | 2020-03-06 |
| 1912538315 | Lagniappe Chiropractic | Chiropractor | 2400 Airline Drive, Bossier City, LA 71111 | 2020-02-04 |
| 1649817420 | Lifecare Medical Transportation, LLC. | Non-emergency Medical Transport (VAN) | 25 Duck Haven Pointe, Bossier City, LA 71111 | 2019-11-29 |
| 1770126344 | Bertresea White Evans | Nurse Practitioner | Coastal Urgernt Care, 5314 Airline Drive, Bossier City, LA 71111 | 2019-10-25 |
| 1861964058 | Erika Davis Reed | Counselor | 1515 Doctors Dr # 16, Bossier City, LA 71111 | 2018-12-28 |
| 1518436898 | Charlotte Mckay | Case Manager/Care Coordinator | 31330 Hwy 22, Ste 101, Bossier City, LA 71111 | 2018-11-16 |
| 1992271464 | Np2u, LLC | Nurse Practitioner | 2008 Airline Drive Suite 300 #194, Bossier City, LA 71111 | 2018-10-22 |
| 1114416542 | Lashaunda Autrey | Counselor | 410 Half Moon Lane, Bossier, LA 71111 | 2018-05-01 |
| 1750887196 | Shenya Williams-pennywell | Counselor | 1007 Gould Drive Bldg 2, Suite 1, Bossier City, LA 71111 | 2018-04-04 |
| 1336647304 | Patrick Vance | Physical Therapist | 5000 Benton Rd Ste 1, Bossier City, LA 71111 | 2018-01-24 |
| Find all providers in zip 71111 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841615127 | Leslie Stovall | Nurse Practitioner | 2449 Hospital Dr, Suite 260, Bossier City, LA 71111-2399 | 2014-02-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073165940 | Autumn Lynne Laffitte | Nurse Practitioner | 1455 E Bert Kouns Industrial Loop # 308, Shreveport, LA 71105-6000 | 2019-07-11 |
| 1487018032 | Natalie Marie Stubbs | Nurse Practitioner | 4429 Clara St Ste 500, New Orleans, LA 70115-6950 | 2016-04-11 |
| 1548678188 | Joanna Poole | Nurse Practitioner | 2120 Bert Kouns Industrial Loop Ste A, Shreveport, LA 71118-3351 | 2014-07-28 |
| 1730590712 | Stacy Davis | Nurse Practitioner | 71380 Highway 21 Ste 101, Covington, LA 70433-7245 | 2014-05-13 |
| 1245673565 | Tresa C Wallace | Nurse Practitioner | 110 Bellemeade Blvd., Suite A, Gretna, LA 70056-2954 | 2013-04-17 |
| 1942433438 | Rebecca Reason Breaux | Nurse Practitioner | 180 Infirmary Rd, Baton Rouge, LA 70803-0001 | 2009-08-31 |
| 1275672909 | Patsy H Mcclanahan | Nurse Practitioner | 3326 Front St Ste B, Winnsboro, LA 71295-6487 | 2007-02-06 |
| 1417262361 | Casey Dufrene Pech | Nurse Practitioner | 406 N Acadia Rd, Thibodaux, LA 70301-4856 | 2010-08-16 |
| 1265752778 | Brooke Bailey Stokes | Nurse Practitioner | 1455 E Bert Kouns Loop, Shreveport, LA 71105-5634 | 2010-06-07 |
| 1144492794 | Kelly N Brewster | Nurse Practitioner | 104 Innwood Drive, Covington, LA 70433-3358 | 2008-03-24 |
| Find all providers with the same taxonomy | ||||
| City | BOSSIER CITY |
| Zip Code | 71111 |
Please comment or provide details below to improve the information on MRS. JENNIFER ALLEN LONG.
| 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.