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NPI Code Detail

MEDICARE: ABIGAYLE WESSON

MEDICARE: ABIGAYLE WESSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care CoordinatorLA

General Provider Information

NPI Number : 1275364770
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABIGAYLE WESSON
Provider Business Mailing Address
First Line : 710 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2351
Country : US
Telephone Number : 228-493-1508
Fax Number :
Provider Business Practice Location Address
First Line : 710 VERSAILLES BLVD
Second Line :
City : ALEXANDRIA
State : LA
Zip : 71303-2351
Country : US
Telephone Number : 318-449-4474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2024
Last Update Date : 05/22/2026

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Directions to “ ABIGAYLE WESSON ” Practice Location

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