Jade Park is a student in an organized health care education training program in Alexandria, LA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Jade Park NPI is 1053988741. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
301 4TH ST
ALEXANDRIA, LA
ZIP 71301-411
Phone: (318) 441-1041
The enumeration date for this NPI number is 6/9/2021 and was last updated on 6/9/2021.