Search › Louisiana › 1041C0700X
Jenita Blue
NPI 1780245498 · on the registry since 2019
Practice
- Address
- 1000 Chinaberry Dr Ste 900
Bossier City, LA 71111 - Phone
- (318) 459-6579
- Organisation at this address
- Premier Ent Llc
Premier Ent Llc
Kambri S Healthcare Llc
Kambri S Healthcare Llc
Providence Primary Care, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 3341 Youree Dr, Shreveport, LA
- 1533 Marshall St, Shreveport, LA
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 104100000X
171M00000X - Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana