Individual
REBECCA WILKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
10542 HWY 1, MOREAVILLE, LA 71355
(318) 785-0102
Mailing address
PO BOX 249, MARKSVILLE, LA 71351-0249
(318) 785-0102
(318) 785-0103
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
230789
LA
Other
Enumeration date
06/23/2023
Last updated
03/25/2024
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