IndividualActive
Jeanne Kavanaugh, AGPCNP
NPI 1841879129 · Gerontology Nurse Practitioner · Covington, LA
Provider details
- NPI number
- 1841879129
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGPCNP
- Sex
- Female
- Sole proprietor
- No
- License
- 218852 (LA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1010 S Polk St
Covington, LA 70433-2474
Phone: (985) 871-5975
Approximate (ZIP-level) locationGet directions
Mailing address
1010 S Polk St
Covington, LA 70433-2474
Registry dates
- Enumerated
- 2021-04-05
- Last updated
- 2021-04-05
- Certified
- 2021-04-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.