Individual
REBECCA LYNN MANSUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11990 JACKSON ST, CLINTON, LA 70722-3210
(225) 683-5292
Mailing address
7801 CONNIE DR, JACKSON, LA 70748-3234
(225) 368-5344
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
154380
LA
363L00000X
Nurse Practitioner
229585
LA
363LF0000X
Family Nurse Practitioner
Primary
229585
LA
Other
Enumeration date
08/15/2022
Last updated
01/13/2025
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