| NPI | 1154605681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMIE C. ROSS Family Nurse Practitioner/Owner 318-238-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP03788) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |