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Individual

JUDY ANNE JAMESON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, C-FNP

Contact information

Practice address
2495 SHREVEPORT HWY, PINEVILLE, LA 71360-4044
(318) 473-0010
(318) 483-5202
Mailing address
85 JOE ROSIER RD, DEVILLE, LA 71328-9027
(318) 466-3649
(318) 466-5803

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
655243327
LA
363LG0600X
Gerontology Nurse Practitioner
655243327
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020232
DRUG ID#
LA
05
1560383
LA
Enumeration date
06/29/2005
Last updated
09/11/2023
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