BENJAMIN POTTER

SHREVEPORT, LA
NPI1215560578
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: LA  211844)
Enumeration Date2020-02-14
Last Update Date2020-02-14
Business Address
BENJAMIN POTTER ACNPC-AG
1800 IRVING PL
SHREVEPORT, LA 71101-4608
Phone number: 318-425-4096
Mailing Address
BENJAMIN POTTER ACNPC-AG
1800 IRVING PL
SHREVEPORT, LA 71101-4608
Phone number:
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