Provider Demographics
NPI:1316452709
Name:ANDREWS, JENNIFER HARRIS
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:HARRIS
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 MARINERS PLAZA DR STE 427
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70448-6850
Mailing Address - Country:US
Mailing Address - Phone:504-756-1466
Mailing Address - Fax:
Practice Address - Street 1:400 MARINERS PLAZA DR STE 427
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70448-6850
Practice Address - Country:US
Practice Address - Phone:504-756-1466
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2017-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician