Bourgeois, Jenna Martin

Bourgeois, Jenna Martin is an individual health care provider with primary practice located at 8777 Bluebonnet Blvd Suite A, Baton Rouge LA 70810-2975. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is her primary health care specialty. Bourgeois, Jenna Martin can be contacted via phone (225) 432-0000.

Contact Information

Primary practice address
8777 Bluebonnet Blvd Suite A Baton Rouge LA 70810-2975
Phone: (225) 432-0000
Fax: (225) 766-1995
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 304332 Louisiana

Profile Details

NPI number 1942590153
LBN Legal business name Bourgeois, Jenna Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2011
Last updated Oct 6th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942590153 NPPES
Louisiana MEDICAID 2441574

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