Organization
SISTERS MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY JORDAN FNP (MANAGER)
(318) 729-2411
Entity
Organization
Contact information
Practice address
1205 HWY 15, BASKIN, LA 71219
(318) 248-2249
Mailing address
239 CATO RD, WINNSBORO, LA 71295-5813
(318) 729-2411
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP06744
LA
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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