ZACHARY BLAKE FUSSELL

SHREVEPORT, LA
NPI1861114407
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: LA  202773)
Enumeration Date2022-09-12
Last Update Date2022-09-12
Business Address
Mr. ZACHARY BLAKE FUSSELL MSN, APRN, PMHNP-BC
1220 PIERREMONT RD STE B
SHREVEPORT, LA 71106-1943
Phone number: 318-629-5036
Mailing Address
Mr. ZACHARY BLAKE FUSSELL MSN, APRN, PMHNP-BC
6134 LOVERS LN
SHREVEPORT, LA 71105-4830
Phone number: 318-840-2616
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