Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JELESSA PENN
Active Sole ProprietorJELESSA PENN is a Athletic Trainer healthcare provider located in WAGGAMAN, Louisiana. NPI 1861921157 is currently active in the NPPES registry. Verify at CMS.
Athletic Trainer · WAGGAMAN, LA
Registration Details
- NPI Number
- 1861921157
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 8, 2017 (9.1921474647541 yrs)
- Last Updated
- Jun 8, 2017
- License
-
2000023890 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
43 LUCILLE ST.WAGGAMAN, LA, 70094Browse LA providers · Browse ZIP 70094
- Phone
- 5043765944
- Primary Specialty
-
Athletic Trainer
2255A2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.