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Individual

JUSTIN WELBORN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
FNP - C

Contact information

Practice address
8080 BLUEBONNET BLVD STE 3200, BATON ROUGE, LA 70810-7831
(225) 924-2424
Mailing address
8080 BLUEBONNET BLVD STE 3200, BATON ROUGE, LA 70810-7831
(225) 924-2424

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
RN124998
LA
363LF0000X
Family Nurse Practitioner
Primary
211467
LA

Other

Enumeration date
01/27/2014
Last updated
01/28/2020
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