Individual
JILLIAN LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7777 HENNESSY BLVD STE 1000, BATON ROUGE, LA 70808-4370
(225) 767-3900
Mailing address
9320 SOUTHLAWN DR, BATON ROUGE, LA 70810-2684
(225) 276-4980
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
220101
LA
Other
Enumeration date
06/04/2026
Last updated
06/04/2026
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