Jacquia Wells
Nurse Practitioner, Family in Gonzales, LA. Individual provider (NPI-1).
NPI number1104577014
StatusActive
Last updated in NPPESJun 24, 2025
Details
- NPI
- 1104577014
- Entity type
- Individual (NPI-1)
- Name
- Jacquia Wells
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 12, 2022
- Certification date
- Jun 24, 2025
- Last updated
- Jun 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 239859 | LA | Yes |
Practice location
711 E Ascension St Unit 360Gonzales, LA 70737-3028
Phone 225-954-8732
Mailing address
711 E Ascension St Unit 360Gonzales, LA 70737-3028
Phone 225-954-8732
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