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Individual

JILL VIDRINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3311 PRESCOTT RD STE 411, ALEXANDRIA, LA 71301-3985
(318) 448-5310
(318) 448-7110
Mailing address
3311 PRESCOTT RD STE 411, ALEXANDRIA, LA 71301-3985
(318) 448-5310
(318) 448-7110

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
AP09462
LA
363LF0000X
Family Nurse Practitioner
AP09462
LA

Other

Enumeration date
07/26/2017
Last updated
01/16/2025
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