person
Kassidy B Wall, FNP
Family Nurse Practitioner in Covington, Louisiana
NPI 1154845147

Kassidy B Wall is a Family Nurse Practitioner based in Covington, LA and is specialized in Family. Kassidy B Wall practices in Covington, LA and has the professional credentials of FNP. The NPI Number for Kassidy B Wall is 1154845147 and holds a License No. AP09476 (Louisiana).

The current practice location address for Kassidy B Wall is 1970 N Highway 190, Covington, LA and can be reached out via phone at 985-400-5988 and via fax at 985-867-3644.

Location: 1970 N Highway 190, Covington, LA, 70434-3370
person
Provider Profile Details
NPI Number
1154845147
Provider Name
Kassidy B Wall
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1970 N Highway 190, Covington, LA, 70434-3370
Phone Number
985-400-5988
Fax Number
985-867-3644
Provider Enumeration Date
08/01/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1970 N Highway 190
City
State
Zip
70433-5364
Phone Number
985-400-5988
Fax Number
985-867-3644
person
Provider Business Mailing Address Details
Address
1970 N Highway 190
City
State
Zip
70433-5364
Phone Number
985-400-5988
Fax Number
985-867-3644
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
AP09476 (Louisiana)
Definition
Definition to come...
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