Individual
JEWELL LITES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
7551 YOUREE DR STE 11, SHREVEPORT, LA 71105-5533
(504) 977-2735
Mailing address
6101 BLUE LAGOON DR STE 200, MIAMI, FL 33126-3168
(305) 500-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
227473
LA
Other
Enumeration date
03/29/2023
Last updated
03/23/2026
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