Individual
BECKY CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4428 YOUREE DR, SHREVEPORT, LA 71105-3621
(318) 869-2297
Mailing address
329 SUGAR CREEK LOOP, MINDEN, LA 71055-7313
(318) 377-6588
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05080
LA
Other
Enumeration date
03/11/2007
Last updated
07/08/2007
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