Individual
JALEXIA DEANN DIAMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
813 FISHER LN, KENTWOOD, LA 70444-2025
(985) 662-8659
Mailing address
813 FISHER LN, KENTWOOD, LA 70444-2025
(985) 662-8659
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211005
LA
Other
Enumeration date
05/25/2024
Last updated
05/25/2024
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