| Doctor Name: | JENNIFER G POLLACK |
| NPI Number: | 1104922947 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | RN109552 AP05008 |
| Business Practice Address: | 1111 Medical Center Blvd S350 Marrero, LA - 700723151 |
| Business Phone Number: | 5043496350 |
| Business Fax Number: | 5043496283 |
| Mailing Address: | 1111 Medical Center Blvd, S350 MARRERO |
| State: | LA |
| Postal Code: | 700723151 |
| Phone Number: | 5043496350 |
| Fax Number: | 5043496283 |
| NPI Enumeration Date: | 09/16/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN109552 AP05008 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |