Individual
MRS. COLLETTE G BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2449 HOSPITAL DR STE 400, BOSSIER CITY, LA 71111-1914
(318) 212-7902
(318) 212-7905
Mailing address
913 LAZYWOOD LN, SHREVEPORT, LA 71108-5911
(318) 423-2538
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
213785
LA
363LG0600X
Gerontology Nurse Practitioner
213785
LA
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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