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Individual

SUSAN BAILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
3041 DR MARTIN LUTHER KING DR, SHREVEPORT, LA 71107-4705
(318) 723-7242
Mailing address
243 CURTISS RD STE 100, BARKSDALE AFB, LA 71110-2425
(318) 456-6555

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221827
LA
363LW0102X
Women's Health Nurse Practitioner
221827
LA

Other

Enumeration date
09/24/2024
Last updated
10/09/2024
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