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Individual

MRS. JESSICA G ZAUNBRECHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4345 NELSON RD STE 201, LAKE CHARLES, LA 70605-4183
(337) 494-6800
(337) 494-6811
Mailing address
PO BOX 122205 DEPT 2205, DALLAS, TX 75312-2205
(337) 494-2921
(337) 494-6523

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08322
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2457039
LA
01
AP08322
STATE LICENSE
LA
Enumeration date
07/30/2015
Last updated
04/27/2022
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