Individual
MRS. TAYLOR JAMIA MAXIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
2120 AIRLINE DR, BOSSIER CITY, LA 71111-3106
(318) 688-3350
(318) 300-4439
Mailing address
2120 BERT KOUNS INDUSTRIAL LOOP STE H, SHREVEPORT, LA 71118-3354
(318) 688-3350
(318) 300-4439
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
235851
LA
Other
Enumeration date
06/19/2024
Last updated
06/19/2024
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