Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jennifer M Stark

Individual provider Nurse Practitioner · NPI 1457016628

Jennifer M Stark is a Nurse Practitioner in Hammond, Louisiana. Qualified in 2021, 5 years ago. Practices with Administrators of the Tulane Educational Fund, a 393-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
5
Licensed in
LA
In the registry since
2021
Specialties on file
2

Practice location Address checks out

1402 S Magnolia St Ste K
Hammond, LA 70403-5020
Phone: (985) 956-7127
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 220613 (LA)
Nurse Practitioner Taxonomy 363L00000X · Licence 220613 (LA)

Record details

NPI number1457016628
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 3, 2021
Last updated in NPPESNovember 3, 2021
Certification dateJune 21, 2021
Mailing address1019 Bellecastle St, New Orleans, LA 70115-3030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Administrators Of The Tulane Educational Fund — 393 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hammond