# PERKINS NURSE PRACTITIONER SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790316610
- **Authorized official:** LAURA B PERKINS NP (PRESIDENT /NURSE PRACTITIONER)
- **Authorized official phone:** (318) 773-0657

## Contact information

- **Practice address:** 9307 MELISSA WAY, SHREVEPORT, LA 71115-2527
- **Practice address phone:** (318) 773-0657
- **Practice address fax:** (318) 688-1559
- **Mailing address:** PO BOX 19284, SHREVEPORT, LA 71149-0284
- **Mailing address phone:** (318) 773-0657

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2020
- **Last updated:** 04/23/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1982635892 | NPI | LA |