MRS. JENNIFER N MESEROLE (NPI# 1982811006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982811006 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER N MESEROLE |
| Credential | CST PA |
| Practice Address |
230 Audubon Dr Mandeville LA 70471 |
| Practice Telephone | 9858451501 |
| Practice Fax Number | 9858451601 |
| Mailing Telephone | 9858451501 |
| Mailing Fax Number | 9858451601 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
CN067243 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | NAT C OF ASSIST SURG | CN067243 | 01 |
| Street Address |
230 AUDUBON DR |
| City | MANDEVILLE |
| State | LA |
| Zip Code | 70471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477751402 | Darrel Lee Brown | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-07-11 |
| 1245441898 | Orton F Grinnell | Specialist/Technologist, Other | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-25 |
| 1790992816 | Edgardo A Javier | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| 1447467568 | Sharon A Schuster | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| 1619184728 | Joel B Garrett | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| 1225245343 | Kentucky R Skinner | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497398234 | Joshua Joseph Leblanc | Pharmacist | 541 Asbury Dr., Mandeville, LA 70471 | 2019-10-24 |
| 1700356789 | John R. Macgregor Jr. M.d. (apmc) | Non-Pharmacy Dispensing Site | 1502 West Causeway Approach, Suite D, Mandeville, LA 70471 | 2018-12-03 |
| 1619462082 | Southern Family Chiropractic, LLC | Chiropractor | 2077 North Causeway Blvd, Mandeville, LA 70471 | 2018-06-27 |
| 1518459833 | Marissa Rose Ledet Corneille | Audiologist | 1420 N Causeway Blvd., Mandeville, LA 70471 | 2018-06-01 |
| 1891285193 | Tyler Gravley | Chiropractor | 2077 N Causeway Blvd, Suite 3, Mandeville, LA 70471 | 2018-05-14 |
| 1831640259 | Trey Stokes | Nurse Anesthetist, Certified Registered | 104 West Brighton Court, Mandeville, LA 70471 | 2016-10-20 |
| 1619420759 | Erin Salerno | Counselor | 6408 Village Ln, Mandeville, LA 70471 | 2016-07-25 |
| 1699121822 | Austin Fontenot | Chiropractor | 1011 N. Caueway Blvd. Ste 28, Mandeville, LA 70471 | 2016-05-06 |
| 1578935136 | Vanessa Hadden | Social Worker | 600 Mariners Plaza, Mandeville, LA 70471 | 2015-10-22 |
| 1134590912 | Slent Investments, LLC | Clinic/Center | 1420 North Causeway Boulevard, Suite B, Mandeville, LA 70471 | 2015-10-19 |
| Find all providers in zip 70471 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871969873 | Stephen Lightell | Physician Assistant | 1196 Springwater Dr, Mandeville, LA 70471-7434 | 2015-08-13 |
| 1427250026 | Donna Brown Holmes | Physician Assistant | 230 Audubon Drive, Mandeville, LA 70471 | 2007-06-05 |
| 1477751402 | Darrel Lee Brown | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-07-11 |
| 1790992816 | Edgardo A Javier | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| 1447467568 | Sharon A Schuster | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| 1619184728 | Joel B Garrett | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| 1225245343 | Kentucky R Skinner | Physician Assistant | 230 Audubon Dr, Mandeville, LA 70471 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423151 | Osler Surgical Services LLC | Physician Assistant | 929 Tezcucco Ct, Covington, LA 70433-8157 | 2020-10-02 |
| 1841841855 | Kasie Danielle Nelson | Physician Assistant | 8585 Picardy Ave Ste 514, Baton Rouge, LA 70809-3748 | 2019-09-23 |
| 1013575018 | Louisiana Surgical Assist, L.L.C. | Physician Assistant | 1374 Knollwood Dr, Baton Rouge, LA 70808-8647 | 2019-06-04 |
| 1285290098 | Nicole Michelle Toups | Physician Assistant | 2551 Greenwood Rd Ste 311, Shreveport, LA 71103-3981 | 2019-05-16 |
| 1437712114 | Karley Marie Boagni | Physician Assistant | 3434 Prytania St Ste 410, New Orleans, LA 70115-3574 | 2019-04-17 |
| 1144793175 | Picardy Surgical Assist II, L.L.C. | Physician Assistant | 7425 Bocage Blvd, Baton Rouge, LA 70809-1141 | 2019-01-02 |
| 1952874984 | Perkins Surgical Assist II, L.L.C. | Physician Assistant | 18611 Saint Andrews Ct W, Prairieville, LA 70769-3251 | 2019-01-02 |
| 1578033825 | Picardy Surgical Assist, L.L.C. | Physician Assistant | 7301 Hennessy Blvd Ste 300, Baton Rouge, LA 70808-4794 | 2018-11-29 |
| 1609362177 | Harley Ann Augustine | Physician Assistant | 3001 Division St, Metairie, LA 70002-5854 | 2018-07-07 |
| 1750880134 | Robert Gomann Genovese II | Physician Assistant | 1233 Wayne Gilmore Cir Ste 250a, Opelousas, LA 70570-6405 | 2018-02-12 |
| Find all providers with the same taxonomy | ||||
| City | MANDEVILLE |
| Zip Code | 70471 |
Please comment or provide details below to improve the information on MRS. JENNIFER N MESEROLE.
| 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.