Search › Louisiana › 171M00000X
Jennifer Elias, CIT5314
NPI 1649849845 · on the registry since 2021
Practice
- Address
- 4600 Reddix Ln
Monroe, LA 71202 - Phone
- (318) 582-4480
- Fax
- (318) 855-5084
- Organisation at this address
- Serenity Sober Livving, Llc
Southern Acres Care Center, LpInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YA0400X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-07-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana