Individual
MRS. SALLY BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
Mailing address
2106 LOOP RD, WINNSBORO, LA 71295-3344
(318) 435-9411
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
208579
LA
Other
Enumeration date
09/14/2019
Last updated
09/14/2019
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