Individual
MRS. ANDREA LATRESE JACKSON-WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5825 AIRLINE HWY, BATON ROUGE, LA 70805-2408
(225) 358-1000
Mailing address
1401 N FOSTER DR, BATON ROUGE, LA 70806-1818
(225) 987-9000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05569
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1311901
—
LA
Enumeration date
09/09/2008
Last updated
03/22/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us