Individual ProviderKristen JupiterCase Manager/Care CoordinatorOther Service ProvidersPractice Address1995 Gentilly Blvd, New Orleans, LA 70119-1700(504) 944-0453PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Jupiter does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1538856836Provider TypeIndividualFull NameJupiter, KristenGenderFemaleSole ProprietorYesEnumeration Date4/18/2023Last Updated4/18/2023Contact InformationPractice LocationPractice Address1995 Gentilly Blvd, New Orleans, LA 70119-1700Phone(504) 944-0453FaxUnlisted FaxMailing LocationMailing Address1995 Gentilly Blvd, New Orleans, LA 70119-1700Phone(504) 944-0453FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171M00000XPrimaryDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerLouisiana