Individual
JESSICA HAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-4400
(318) 728-4430
Mailing address
111 CHRISTIAN DR, RAYVILLE, LA 71269-3658
(318) 728-4400
(318) 728-4430
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
213888
LA
Other
Enumeration date
10/02/2020
Last updated
06/16/2023
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