Individual
JESSICA L SEPULVADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
210 HIGHLAND DR, MANY, LA 71449-3718
(318) 256-5722
(318) 256-5774
Mailing address
589 TWIN SPRINGS LOOP, ZWOLLE, LA 71486-3681
(318) 521-0820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F10190070
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F10190070
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICATION BOARD
LA
Enumeration date
10/24/2019
Last updated
10/24/2019
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