Individual
CAMMIE MAXWELL NEATHERLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
804 CHATHAM AVE, CHATHAM, LA 71226-8917
(318) 249-3200
(318) 249-3204
Mailing address
165 BEECH SPRINGS RD, JONESBORO, LA 71251-2059
(318) 259-5646
(318) 259-0019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07897
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2375741
—
LA
Enumeration date
06/30/2014
Last updated
08/29/2022
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