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Organization

JENNIFER WILKINSON PA-C AND WILLIS-KNIGHTON MEDICAL CENTER

Active
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Organization

JENNIFER WILKINSON PA-C AND WILLIS-KNIGHTON MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-8780
Entity
Organization

Contact information

Practice address
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111-2394
(318) 212-7830
(318) 212-7835
Mailing address
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111-2394
(318) 212-7830
(318) 212-7835

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
NULL
363A00000X
Physician Assistant
Primary
—
—

Other

Enumeration date
06/12/2006
Last updated
08/22/2020
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