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1023778503
JESSICA ELLEN CREDLE
WINNSBORO, LA
NPI
1023778503
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: LA 224185)
Enumeration Date
2021-12-23
Last Update Date
2022-02-22
Business Address
Mrs. JESSICA ELLEN CREDLE NP
2106 LOOP RD STE B
WINNSBORO, LA 71295-3343
Phone number: 318-239-4860
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Mailing Address
Mrs. JESSICA ELLEN CREDLE NP
PO BOX 4506
SHREVEPORT, LA 71134-0506
Phone number: 318-239-4860
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