Individual
JESSICA LAUREN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NNP-BC
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 282-0456
Mailing address
334 KINGFISHER RD, STERLINGTON, LA 71280-3283
(318) 282-0456
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
RN160090
LA
363LN0000X
Neonatal Nurse Practitioner
Primary
240027
LA
Other
Enumeration date
03/05/2025
Last updated
03/21/2025
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