Individual
JACQUELINE MATHERNE WOODS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP-PC
Contact information
Practice address
1534 ELIZABETH AVE STE 401, SHREVEPORT, LA 71101-4531
(318) 431-8613
Mailing address
1534 ELIZABETH AVE STE 401, SHREVEPORT, LA 71101-4531
(318) 431-8613
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
227276
LA
Other
Enumeration date
11/29/2023
Last updated
12/31/2023
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