Individual
DR. GESELLE MARIA CROCKETT HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NP-C
Contact information
Practice address
4202 BROOK LN, SLIDELL, LA 70460-3912
(504) 256-7799
Mailing address
4202 BROOK LN, SLIDELL, LA 70460-3912
(504) 256-7799
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
219012
LA
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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