| NPI | 1285410647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BOOKER Nurse Practitioner 318-344-3027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2023-09-01 |
| Last Update Date | 2024-04-01 |