| Doctor Name: | MS. JAIME REBECCA LOEBNER |
| NPI Number: | 1003168071 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSN, FPMHNP-BC, APRN |
| License Number: | AP07096 |
| Business Practice Address: | 113 Christian Ln Slidell, LA - 704581350 |
| Business Phone Number: | 9857817353 |
| Business Fax Number: | |
| Mailing Address: | 835 Montgomery St, MANDEVILLE |
| State: | LA |
| Postal Code: | 704485520 |
| Phone Number: | 6157667576 |
| Fax Number: | |
| NPI Enumeration Date: | 10/15/2012 |
| NPI Last Update Date: | 10/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | AP07096 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |