Individual
JERRY WILSON BATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, C-FNP
Contact information
Practice address
300 PAVILION RD, WEST MONROE, LA 71292-9470
(318) 323-1100
(318) 332-1161
Mailing address
103 ROBERTA DR, WEST MONROE, LA 71291-2125
(318) 396-0729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05917
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01729542
—
MS
05
—
1808334
—
LA
Enumeration date
09/15/2009
Last updated
07/21/2022
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