| Doctor Name: | MRS. JENNIFER ELLIOTT CREEL |
| NPI Number: | 1073801635 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ACNPC |
| License Number: | AP06565 |
| Business Practice Address: | 102 Thomas Rd Suite 104 West Monroe, LA - 712917366 |
| Business Phone Number: | 3183298485 |
| Business Fax Number: | |
| Mailing Address: | 102 Thomas Rd., Ste 107 WEST MONROE |
| State: | LA |
| Postal Code: | 71291 |
| Phone Number: | 3188013315 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2011 |
| NPI Last Update Date: | 09/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2100X |
| License Number: | AP06565 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Acute Care |
| Taxonomy Definition: | |