Individual
TRACY JANNIK BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CNP
Contact information
Practice address
740 KEYSER AVE, NATCHITOCHES, LA 71457-6037
(318) 238-5300
(318) 238-5301
Mailing address
PO BOX 2009, NATCHITOCHES, LA 71457-2009
(318) 214-1144
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
232248
LA
Other
Enumeration date
10/03/2023
Last updated
11/28/2023
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