Individual
MRS. LISA ZOBRIST WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
8980 MANCHAC RD, SAINT GABRIEL, LA 70776-5811
(225) 229-8589
Mailing address
10844 THISTLEWOOD DR, BATON ROUGE, LA 70810
(225) 229-8589
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP06494
LA
363LF0000X
Family Nurse Practitioner
Primary
1196987-6494
LA
Other
Enumeration date
06/28/2011
Last updated
05/30/2025
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