Individual
MISS WANDA N. JEFFERSON WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
154 HIGHWAY 1008, NAPOLEONVILLE, LA 70390
(985) 369-1880
(985) 369-9191
Mailing address
154 HIGHWAY 1008, NAPOLEONVILLE, LA 70390
(985) 369-1880
(985) 369-9191
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07775
LA
Other
Enumeration date
05/19/2014
Last updated
09/01/2023
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