Individual
JESSICA GILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
3020 KINGMAN ST, STE B, METAIRIE, LA 70006-6673
(504) 353-5502
Mailing address
4200 HOUMA BLVD, METAIRIE, LA 70006-2970
(504) 353-5502
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07911
LA
Other
Enumeration date
11/17/2014
Last updated
12/10/2019
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