ANDREA LATRESE JACKSON-WILSON

BATON ROUGE, LA
NPI1033367529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP05569)
Enumeration Date2008-09-09
Last Update Date2010-03-22
Business Address
Mrs. ANDREA LATRESE JACKSON-WILSON FNP-BC
5825 AIRLINE HWY
BATON ROUGE, LA 70805-2408
Phone number: 225-358-1000
Mailing Address
Mrs. ANDREA LATRESE JACKSON-WILSON FNP-BC
1401 N FOSTER DR
BATON ROUGE, LA 70806-1818
Phone number: 225-987-9000
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