Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JAIMIE DESROCHE REVON, LPN
Active Sole ProprietorMRS. JAIMIE DESROCHE REVON, LPN is a Case Manager healthcare provider located in SLIDELL, Louisiana. NPI 1881204022 is currently active in the NPPES registry. Verify at CMS.
Case Manager · SLIDELL, LA
Registration Details
- NPI Number
- 1881204022
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 3, 2020 (6.0547570355181 yrs)
- Last Updated
- Aug 3, 2020
- License
-
2-0160813 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 GAUSE BLVD STE 201SLIDELL, LA, 704582853Browse LA providers · Browse ZIP 70458
- Phone
- 5043306670
- Primary Specialty
-
Case Manager
171M00000X
- Additional Specialty
- Licensed Practical Nurse
Other Case Manager Providers in SLIDELL, LA
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER GRIFFITH | — | 1679891873 |
| MRS. JENNIE HOWELL MELINDA HOWELL | — | 1881990042 |
| JENNIFER FRADELLA | CPLC, SAE | 1518226455 |
| DARIUS HICKMAN JR. | — | 1669888418 |
| MS. ESHANTTI KAYAFAI SMITH-TRASK | MSW,RSW | 1720469109 |
| GAYLA GRIGSBY-ROBINSON | MHS | 1063893444 |
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.