Individual
EVA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3845 PLATT DR, BATON ROUGE, LA 70814-4213
(225) 927-3114
Mailing address
3845 PLATT DR, BATON ROUGE, LA 70814-4213
(225) 927-3114
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F0514077
LA
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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