Individual
MRS. KAYSIE BOUDREAUX WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 870-5645
Mailing address
1202 S TYLER ST, COVINGTON, LA 70433-2330
(985) 870-5645
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN131317
LA
Other
Enumeration date
12/22/2015
Last updated
01/22/2026
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