Individual
JESSICA MCCALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 VENABLE LN STE 200, MONROE, LA 71203-2028
(501) 492-0099
Mailing address
PO BOX 9178, RUSSELLVILLE, AR 72811-9178
(855) 498-6767
(479) 968-1673
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116496
LA
363LF0000X
Family Nurse Practitioner
Primary
212195
LA
Other
Enumeration date
12/16/2019
Last updated
04/20/2020
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