| NPI | 1053705574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BURNS NORWOOD Owner 318-636-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03173) |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |