JACOB DANIEL WADE

SHREVEPORT, LA
NPI1609559244
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  231241)
Enumeration Date2023-08-10
Last Update Date2023-08-10
Business Address
JACOB DANIEL WADE
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
Mailing Address
JACOB DANIEL WADE
550 DALEY
PRINCETON, LA 71067-9111
Phone number: 318-268-5341
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