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Individual

GINA THERIOT JORY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP06049
LA
363L00000X
Nurse Practitioner
RN 098182
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2113101
LA
01
P00858048
RAIL ROAD MEDICARE #
LA
Enumeration date
03/08/2010
Last updated
01/06/2026
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