SearchLouisiana101YM0800X

Jerwin Wilson

NPI 1811421084 · on the registry since 2017

Practice

Address
7505 Pines Rd
Shreveport, LA 71129
Phone
(318) 562-3707
Organisation at this address
Esit, Llc
Shepherds Heart
Provider Care Inc.
Kde Enterprises, Llc
Lacam Enterprise Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
89

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Sex
Male
Record last updated
2017-04-14

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana