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Search › Louisiana › 171M00000X

Jaimie Revon, LPN

NPI 1881204022 · on the registry since 2020 · sole proprietor

Practice

Address
700 Gause Blvd Ste 201
Slidell, LA 70458
Phone
(504) 330-6670
Organisation at this address
Nms Llc
Dura Mater, Inc
Lynette Heslet Phd Mp
Meredith J Hixson, Md., Apmc
Applegate Health Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
171M00000X
171M00000X
Also registered as
164W00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-08-03

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