Individual
JILL VIDRINE
Active
Individual
JILL VIDRINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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