Individual
JACKIE LYNN GUIDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
299 N CITIES SERVICE HWY STE B, SULPHUR, LA 70663-7503
(337) 626-1011
(337) 626-0656
Mailing address
299 N CITIES SERVICE HWY STE B, SULPHUR, LA 70663-7503
(337) 626-1011
(337) 626-0656
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04685
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1302783
—
LA
Enumeration date
11/02/2006
Last updated
10/15/2009
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