| Doctor Name: | JENNIFER WOERNER |
| NPI Number: | 1255532842 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DMD, MD |
| License Number: | S-483 |
| Business Practice Address: | 1501 Kings Hwy Department Of Oral Surgery Shreveport, LA - 711034228 |
| Business Phone Number: | 3186755000 |
| Business Fax Number: | |
| Mailing Address: | 1512 W Kirby Pl, SHREVEPORT |
| State: | LA |
| Postal Code: | 711033822 |
| Phone Number: | 3186755000 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2007 |
| NPI Last Update Date: | 03/04/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204E00000X |
| License Number: | S-483 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Oral & Maxillofacial Surgery |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |