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Ihsc @ Lasalle Detention Facility
Family Nurse Practitioner in Jena, Louisiana
NPI 1477894905

Ihsc @ Lasalle Detention Facility is a Family Nurse Practitioner based in Jena, LA and is specialized in Family. Ihsc @ Lasalle Detention Facility practices in Jena, LA. The NPI Number for Ihsc @ Lasalle Detention Facility is 1477894905 and holds a License No. AP06993 (Louisiana).

The current practice location address for Ihsc @ Lasalle Detention Facility is 830 Pinehill Rd, Jena, LA and can be reached out via phone at 318-992-7613.

Location: 830 Pinehill Rd, Jena, LA, 71342-4137
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477894905
Provider Name
Ihsc @ Lasalle Detention Facility
Credential
Provider Entity Type
Organization
Address
830 Pinehill Rd, Jena, LA, 71342-4137
Phone Number
318-992-7613
Fax Number
Provider Enumeration Date
03/07/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
830 Pinehill Rd
City
Jena
State
Louisiana
Zip
71342-4137
Phone Number
318-992-7613
Fax Number
person
Provider Business Mailing Address Details
Address
830 Pinehill Rd
City
Jena
State
Louisiana
Zip
71342-4137
Phone Number
318-992-7613
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP06993 (Louisiana)
Definition
Definition to come...
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