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Individual

JESSICA TAYLOR NASH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1811 E BERT KOUNS, SUITE 100, SHREVEPORT, LA 71115
(318) 222-3695
(318) 424-0717
Mailing address
1811 E BERT KOUNS, SUITE 100, SHREVEPORT, LA 71115
(318) 222-3695
(318) 424-0717

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA.200115
LA

Other

Enumeration date
06/15/2007
Last updated
05/13/2009
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