Individual
MRS. KEEWANNA WOMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5151 PLANK RD STE 38, BATON ROUGE, LA 70805-3501
(225) 356-2006
Mailing address
5151 PLANK RD STE 38, BATON ROUGE, LA 70805-3501
(225) 356-2006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP09803
LA
Other
Enumeration date
02/22/2018
Last updated
03/02/2018
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