Organization
JEWELL SURGICAL SERVICES, APNC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLII MELANCON JEWELL RN, BSN, CNOR, RNFA (PRESIDENT)
(225) 978-3754
Entity
Organization
Contact information
Practice address
14321 VENTRESS RD, VENTRESS, LA 70783-4005
(225) 978-3754
Mailing address
14321 VENTRESS RD, VENTRESS, LA 70783-4005
(225) 978-3754
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN103777
LA
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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