Individual
MRS. TEDDI POCHE' WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP
Contact information
Practice address
2305 RICHARD ST, ABBEVILLE, LA 70510-3223
(337) 892-9800
Mailing address
109 TURFWAY DR, LAFAYETTE, LA 70508-5609
(337) 371-0362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO3138
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1140074
—
LA
Enumeration date
10/23/2006
Last updated
06/17/2022
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