Individual
JESSICA M PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8064 HIGHWAY 165, COLUMBIA, LA 71418-3396
(318) 649-6766
(318) 649-2353
Mailing address
166 GATES ST, COLUMBIA, LA 71418-4232
(318) 649-3457
(318) 649-2353
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06287
LA
Other
Enumeration date
10/13/2010
Last updated
10/13/2010
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