Individual
MRS. TASCHUNDA CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
1501 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-1811
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
227152
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
227152
LA
Other
Enumeration date
08/23/2022
Last updated
09/13/2022
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