# JEWELL SURGICAL SERVICES, APNC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093010928
- **Authorized official:** KAYLII MELANCON JEWELL RN, BSN, CNOR, RNFA (PRESIDENT)
- **Authorized official phone:** (225) 978-3754

## Contact information

- **Practice address:** 14321 VENTRESS RD, VENTRESS, LA 70783-4005
- **Practice address phone:** (225) 978-3754
- **Mailing address:** 14321 VENTRESS RD, VENTRESS, LA 70783-4005
- **Mailing address phone:** (225) 978-3754

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WR0006X | Registered Nurse First Assistant | RN103777 | LA | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 01/25/2011