Individual
JODIE LASHAY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-1028
Mailing address
6016 BRAEBURN CT, BOSSIER CITY, LA 71111-5746
(318) 540-2038
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN160620
LA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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