| NPI | 1790316610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA B PERKINS President /Nurse Practitioner 318-773-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-04-23 |