Individual
LISA WILHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MSN,FNP-C
Contact information
Practice address
2901 DOUGLAS DR, BOSSIER CITY, LA 71111-5807
(318) 747-2700
Mailing address
116 DEER CHASE PT, BOSSIER CITY, LA 71111-8174
(318) 588-4416
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08045
LA
Other
Enumeration date
09/09/2020
Last updated
09/09/2020
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