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JERRY WILLIFORD, NURSE PRACTITIONER

NURSE PRACTITIONER

NPI: 1669060034IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

211128(LA)

CMS Specialties

Education

OTHER

Class of 2019

Contact & Hours

Address
850 OLIVE ST STE A
SHREVEPORT, LA 71104

Quick Facts

NPI
1669060034
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
7

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