| NPI | 1851025902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL L PARKER President 225-284-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2022-07-14 |
| Last Update Date | 2025-06-11 |