Individual
REBECCA WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
23257 KILGORE ST, MANDEVILLE, LA 70471-8021
(985) 264-0312
(985) 231-0213
Mailing address
23257 KILGORE ST, MANDEVILLE, LA 70471-8021
(985) 264-0312
(985) 231-0213
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
222117
LA
Other
Enumeration date
04/04/2022
Last updated
04/06/2022
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