Individual
MRS. JESSICA MCQUISTON ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 WALTERS ST, LSU W O MOSS REGIONAL MEDICAL CENTER, LAKE CHARLES, LA 70607-4699
(337) 475-8333
Mailing address
PO BOX 122431, DEPT 2431, DALLAS, TX 75312-2431
(337) 480-8900
(337) 480-8901
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
AP04473
LA
367500000X
Certified Registered Nurse Anesthetist
Primary
RN100409
LA
Other
Enumeration date
07/14/2006
Last updated
10/02/2018
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