Individual
JENNIFER WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111-2394
(318) 212-7830
(318) 212-7835
Mailing address
2300 HOSPITAL DR, SUITE 200, BOSSIER CITY, LA 71111-2394
(318) 212-7830
(318) 212-7835
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A10249
LA
363A00000X
Physician Assistant
PA.A10249
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1325066
—
LA
Enumeration date
06/21/2006
Last updated
06/01/2023
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