NIA'JA STE'VONA MACK

BATON ROUGE, LA
NPI1497254502
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  AP09772)
Enumeration Date2018-02-04
Last Update Date2018-02-04
Business Address
NIA'JA STE'VONA MACK FNP-C
100 WOMANS WAY
BATON ROUGE, LA 70817-5100
Phone number: 225-924-8999
Mailing Address
NIA'JA STE'VONA MACK FNP-C
25627 BUFFWOOD ST
DENHAM SPRINGS, LA 70726-5994
Phone number: 225-305-3828