Individual
KACI J PEARCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7167
Mailing address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7167
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
AP203826
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP203826
LOUISIANA
LA
Enumeration date
02/15/2019
Last updated
02/15/2019
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