| NPI | 1386238525 |
|---|---|
| Doing Business As | PROVIDENCE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | LINDSEY MARLOWE RODGERS Nurse Practitioner 318-562-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-02-28 |
| Last Update Date | 2025-05-02 |