NPI 1114184405

Nursing Solutions of La Ll C

Organisation Preferred Provider Organization Gonzales, LA

Practice location

Address: 214 S Burnside Ave STE 203, Gonzales, LA 70737-3453
Phone: (225) 644-7613
Fax: (225) 644-2338

Authorised official

Name: Rodney Jackson
Title: Ceo
Phone: (225) 644-7613

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 15021 (LA)

Other Preferred Provider Organization providers in Louisiana →

Registry record

NPI: 1114184405
Entity type: Organization
NPI issued: 22 May 2008
Record last updated: 22 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.