Individual
RUSTY HACKNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
317 W. 6TH AVE, OBERLIN, LA 70655
(337) 639-2060
Mailing address
317 W. 6TH AVE, OBERLIN, LA 70655
(337) 639-2060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
234445
LA
Other
Enumeration date
02/26/2024
Last updated
04/24/2024
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