Individual
JACQUIA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 E ASCENSION ST UNIT 360, GONZALES, LA 70737-3028
(225) 954-8732
Mailing address
711 E ASCENSION ST UNIT 360, GONZALES, LA 70737-3028
(225) 954-8732
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
239859
LA
Other
Enumeration date
01/12/2022
Last updated
06/24/2025
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