| NPI | 1013217595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON CHARLES BARNES Fnp 318-349-6728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2010-10-29 |
| Last Update Date | 2022-10-05 |