Individual
KELLY MOTT WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1322 ELTON RD STE F, JENNINGS, LA 70546-4100
(337) 824-8868
(337) 824-8829
Mailing address
1322 ELTON RD STE F, JENNINGS, LA 70546-4100
(337) 824-8868
(337) 824-8829
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207292
LA
Other
Enumeration date
08/11/2019
Last updated
07/17/2023
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