Individual
MS. KELLY A YERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
910 PIERREMONT RD, SUITE 234, SHREVEPORT, LA 71106-2069
(318) 562-3988
(318) 562-3988
Mailing address
PO BOX 1736, SHREVEPORT, LA 71166-1736
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
68700-3500
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1562360
—
LA
01
—
P00231748
RAILROAD MEDICARE
—
Enumeration date
06/27/2006
Last updated
06/26/2015
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