JENNIFER MIDGETT LLC NPI 1740769082

NPI Information

  • NPI: 1740769082
  • Provider Name: JENNIFER MIDGETT, LLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Doing Business As: PREMIER PEDIATRICS OF LOUISIANA
  • CLIA Number: 19D2149234
  • Address: 2581 HIGHWAY 190 W
    DERIDDER, LA
    ZIP 70634
  • Phone: (337) 221-3075

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NPI Details

JENNIFER MIDGETT, LLC is a family medicine in Deridder, LA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JENNIFER MIDGETT, LLC NPI is 1740769082. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Premier Pediatrics Of Louisiana.

The provider's business location address is:

2581 HIGHWAY 190 W
DERIDDER, LA
ZIP 70634-056
Phone: (337) 221-3075
Fax: (337) 221-3076

The provider's authorized official is Jennifer Midgett .
The authorized official title is Owner and has the following contact phone number (337) 221-3075.

The CLIA number assigned to this NPI record is 19D2149234 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/8/2018 and was last updated on 8/8/2018.

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
1207Q00000XFamily MedicineAP09115LOUISIANAYes

What is NPI?

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This page was last updated on: 11/21/2025

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