Individual
BRANDI JAMISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5610 BUNCOMBE RD APT 204, SHREVEPORT, LA 71129-2687
(318) 518-1049
Mailing address
5610 BUNCOMBE RD APT 204, SHREVEPORT, LA 71129-2687
(318) 518-1049
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
210697
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
210697
LOUISIANA STATE BOARD OF NURSING
LA
Enumeration date
11/12/2021
Last updated
11/13/2021
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