Individual provider · Type 1 NPI

Andrea Latrese Jackson-Wilson, FNP-BC

Family Nurse Practitioner · Baton Rouge, LA

NPI number 1033367529 Active

Practice location

5825 Airline Hwy
Baton Rouge, LA 70805-2408

Mailing address

1401 N Foster Dr
Baton Rouge, LA 70806-1818

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP05569 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1033367529

Andrea Latrese Jackson-Wilson, FNP-BC's National Provider Identifier is 1033367529, issued on Sep 9, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Baton Rouge, LA. The record was last updated on Mar 22, 2010.