Individual
TASHIKA EDWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
115 JESSIE LN, VACHERIE, LA 70090-5122
(225) 623-9370
Mailing address
115 JESSIE LN, VACHERIE, LA 70090-5122
(225) 623-9370
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06230247
LA
Other
Enumeration date
06/07/2023
Last updated
06/07/2023
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