JENA M. ROY FNP LLC
Ambulatory Health at Stagg Ave, Basile, LA

License number
Louisiana AP06059
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: MRS. JENA MILLER ROY FNP-BC
Title: OWNER
Phone: (337) 432-5552
Address
Address
2932 Stagg Ave STE A, Basile, LA 70515
National Provider ID: 1265710982
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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JENA M. ROY, FNP, LLC

Basile, LA

Industry:
Nonclassifiable Establishments
Doing business as:
Jena M Roy Fnp LLC
Registration:
Apr 27, 2010
Addresses:
2932 Stagg Ave, Basile, LA 70515 (Physical)
C/O Jena M Roy, Basile, LA 70515 (Mailing)
5316 Manuel Lk Rd, Basile, LA 70515
State ID:
40192753K
Business type:
Limited Liability Company
Manager, Administration, Owner:
Jena M. Roy (Manager, Administration, Owner), 1294 Clay Rd, Basile, LA 70515 (Physical)

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