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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VENESSA NACOLE WILSON

Active Sole Proprietor

VENESSA NACOLE WILSON is a Prosthetic/Orthotic Supplier healthcare provider located in BATON ROUGE, Louisiana. NPI 1053027482 is currently active in the NPPES registry. Verify at CMS.

Prosthetic/Orthotic Supplier · BATON ROUGE, LA

Registration Details

NPI Number
1053027482
Provider Type
Individual
Gender
Female
NPI Issued
Jan 30, 2023 (3.5567766813232 yrs)
Last Updated
Jan 30, 2023
License
419152 (LA)
Sole Proprietor
Yes

Practice Information

Address
7819 BLUEBONNET BLVD STE C
BATON ROUGE, LA, 708102836
Browse LA providers · Browse ZIP 70810
Phone
2253358652
Primary Specialty
Prosthetic/Orthotic Supplier
335E00000X

Other Prosthetic/Orthotic Supplier Providers in BATON ROUGE, LA

Name Credential NPI
RABUN DAKOTA JACKSON 1336701671
JERICA LAFAYETTE 1477231900
JAYLYNN FAITH JACKSON 1619827177
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.