Individual
MRS. JAMIE LYNN PUTNAM GUILLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
163 COMANCHE TRL, WEST MONROE, LA 71291-8105
(318) 376-4743
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
215716
LA
Other
Enumeration date
09/30/2020
Last updated
09/30/2020
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