Individual
JENNIFER WELDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
1702 N PINE ST, DERIDDER, LA 70634-2143
(337) 463-4167
Mailing address
1702 N PINE ST, DERIDDER, LA 70634-2143
(337) 463-4167
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN105711
LA
225700000X
Massage Therapist
Primary
LA10382
LA
Other
Enumeration date
09/29/2025
Last updated
09/29/2025
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