Individual
MR. JOHN R MASSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
604 BELUE LANE, SUITE B, RUSTON, LA 71270-5936
(318) 251-6385
Mailing address
604 BELUE LANE, SUITE B, RUSTON, LA 71270-8299
(318) 251-6385
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
1660
LA
Other
Enumeration date
07/13/2007
Last updated
07/16/2007
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