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Organization
PERKINS NURSE PRACTITIONER SERVICES
Active
Organization
PERKINS NURSE PRACTITIONER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA B PERKINS NP (PRESIDENT /NURSE PRACTITIONER)
(318) 773-0657
Entity
Organization
Contact information
Practice address
9307 MELISSA WAY, SHREVEPORT, LA 71115-2527
(318) 773-0657
(318) 688-1559
Mailing address
PO BOX 19284, SHREVEPORT, LA 71149-0284
(318) 773-0657
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1982635892
NPI
LA
Enumeration date
01/29/2020
Last updated
04/23/2020
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