Organization
BENJAMIN COLVIN NP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN COLVIN NP (OWNER)
(318) 413-1275
Entity
Organization
Contact information
Practice address
5019 SHREVEPORT HWY #8, TIOGA, LA 71477-9998
(318) 413-1275
Mailing address
PO BOX 8, TIOGA, LA 71477-0008
(318) 413-1275
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/26/2025
Last updated
09/25/2025
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