Individual
GRETCHEN RENEE WILKERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
301 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 460-7688
(337) 460-7691
Mailing address
301 S WASHINGTON ST, DERIDDER, LA 70634-4861
(337) 460-7688
(337) 460-7691
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07928
LA
Other
Enumeration date
07/03/2014
Last updated
05/27/2022
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