Individual
MRS. JILLIAN RAE HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
2309 E MAIN ST STE C, NEW IBERIA, LA 70560-4046
(337) 256-8779
Mailing address
2309 E MAIN ST STE C, NEW IBERIA, LA 70560-4046
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
241502
LA
Other
Enumeration date
09/28/2024
Last updated
06/10/2025
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