Individual provider · Type 1 NPI
Jillian Vidrine Soileau, APRN, CPNP
Pediatric Nurse Practitioner · Eunice, LA
NPI number
1336453794
Active
Practice location
3501 Highway 190 Ste T
Eunice, LA 70535-5129
Fax (337) 457-8983
Mailing address
2611 Edgewood Rd
Ville Platte, LA 70586-6542
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | AP06203 (LA) |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1336453794
Jillian Vidrine Soileau, APRN, CPNP's National Provider Identifier is 1336453794, issued on Jul 27, 2010. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Eunice, LA. The record was last updated on Dec 12, 2019.