Individual
JACQUELINE BAUDIER WALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-C
Contact information
Practice address
626 SUPERIOR AVE, BOGALUSA, LA 70427-2631
(985) 730-6670
(985) 730-6671
Mailing address
626 SUPERIOR AVE, BOGALUSA, LA 70427-2631
(985) 730-6670
(985) 730-6671
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP08251
LA
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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