Individual
JERE WELCH THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-FNP
Contact information
Practice address
188 BURT BLVD, BENTON, LA 71006-4900
(318) 965-5017
(318) 965-5019
Mailing address
188 BURT BLVD, BENTON, LA 71006-4900
(318) 965-5017
(318) 965-5019
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06637
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2164023
—
LA
01
—
721501844
TRICARE/HUMANA
LA
Enumeration date
07/21/2011
Last updated
09/08/2023
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