Individual
JILL KATHLEEN LYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3341 YOUREE DRIVE, SHREVEPORT, LA 71105
(318) 219-4167
(318) 219-4834
Mailing address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 219-4167
(318) 219-4834
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
791168
LA
Other
Enumeration date
09/06/2017
Last updated
07/21/2022
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