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Organization
PROVIDENCE PRIMARY CARE, LLC
Active
Organization
PROVIDENCE PRIMARY CARE, LLC
Active
Other names
Providence Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSEY MARLOWE RODGERS APRN (OWNER, NURSE PRACTITIONER)
(318) 562-3911
Entity
Organization
Contact information
Practice address
1000 CHINABERRY DR STE 1002, BOSSIER CITY, LA 71111-2463
(318) 562-3911
(318) 656-3761
Mailing address
1000 CHINABERRY DR STE 1002, BOSSIER CITY, LA 71111-2463
(318) 562-3911
(318) 656-3761
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
363LW0102X
Women's Health Nurse Practitioner
—
NULL
363LW0102X
Women's Health Nurse Practitioner
—
—
Other
Enumeration date
02/28/2021
Last updated
02/08/2026
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