JESSICA ELLEN CREDLE

WINNSBORO, LA
NPI1023778503
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: LA  224185)
Enumeration Date2021-12-23
Last Update Date2022-02-22
Business Address
Mrs. JESSICA ELLEN CREDLE NP
2106 LOOP RD STE B
WINNSBORO, LA 71295-3343
Phone number: 318-239-4860
Mailing Address
Mrs. JESSICA ELLEN CREDLE NP
PO BOX 4506
SHREVEPORT, LA 71134-0506
Phone number: 318-239-4860