MRS. JENNIFER HALEY WADDLE WHCNP NPI 1366656787

NPI Information

NPI: 1366656787
Provider Name: MRS. JENNIFER HALEY WADDLE, WHCNP
Classification: Nurse Practitioner - 363LW0102X
Entity Type: Individual

Specialization: Women's Health

PECOS Registration: Yes

Address:
2508 BERT KOUN LOOP
SUITE 201
SHREVEPORT, LA
ZIP 71118
Phone: (318) 212-5790
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MRS. Jennifer Haley Waddle, WHCNP is a women's health nurse practitioner in Shreveport, LA with 19 years of experience. MRS. Jennifer Haley Waddle, WHCNP NPI is 1366656787. 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:

2508 BERT KOUN LOOP
SUITE 201
SHREVEPORT, LA
ZIP 71118-133
Phone: (318) 212-5790
Fax: (318) 212-5795

The NPI 1366656787 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/9/2007 and was last updated on 4/13/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LW0102X	Nurse Practitioner	Women's Health	AP04789	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	AP04789	OTHER	LOUISIANA	APRN
2	RN098243	OTHER	LOUISIANA	LICENSE---NURSING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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