Individual
JESSICA NICOLE BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
626 E JEFFERSON AVE, BASTROP, LA 71220-4619
(318) 239-2325
(318) 239-2327
Mailing address
626 E JEFFERSON AVE, BASTROP, LA 71220-4619
(318) 239-2325
(318) 239-2327
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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