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1679141881
JERMISSIA LATRICE HENDERSON
SHREVEPORT, LA
NPI
1679141881
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: LA 220444)
Enumeration Date
2021-06-14
Last Update Date
2021-06-14
Business Address
Mrs. JERMISSIA LATRICE HENDERSON ACNPC-AG
2600 GREENWOOD RD
SHREVEPORT, LA 71103-3908
Phone number: 318-212-4000
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Mailing Address
Mrs. JERMISSIA LATRICE HENDERSON ACNPC-AG
222 CESSNA DR
SHREVEPORT, LA 71106-3421
Phone number: 318-212-4000
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