# PROVIDENCE PRIMARY CARE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Providence Primary Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386238525
- **Authorized official:** LINDSEY MARLOWE RODGERS APRN (OWNER, NURSE PRACTITIONER)
- **Authorized official phone:** (318) 562-3911

## Contact information

- **Practice address:** 1000 CHINABERRY DR STE 1002, BOSSIER CITY, LA 71111-2463
- **Practice address phone:** (318) 562-3911
- **Practice address fax:** (318) 656-3761
- **Mailing address:** 1000 CHINABERRY DR STE 1002, BOSSIER CITY, LA 71111-2463
- **Mailing address phone:** (318) 562-3911
- **Mailing address fax:** (318) 656-3761

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |
| 363LW0102X | Women's Health Nurse Practitioner | — | NULL | — |
| 363LW0102X | Women's Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/28/2021
- **Last updated:** 02/08/2026