Individual
JESSICA SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6450 LOUISIANA HIGHWAY 1, INNIS, LA 70747-4700
(225) 492-3775
(225) 492-3782
Mailing address
6450 LOUISIANA HIGHWAY 1, BATCHELOR, LA 70715-3212
(225) 492-3775
(225) 492-3782
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN118313
LA
363LF0000X
Family Nurse Practitioner
Primary
AP08282
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2396102
—
LA
Enumeration date
03/30/2015
Last updated
02/16/2016
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