Individual
MS. JESSICA S CHURCHILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1050 S NORMAN C FRANCIS PKWY, NEW ORLEANS, LA 70125-1200
(504) 821-7085
Mailing address
909 W JEANA DR, GONZALES, LA 70737-3369
(225) 715-3386
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
132800
LA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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