Individual
VICKEY M BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2449 HOSPITAL DR, SUITE 400, BOSSIER CITY, LA 71111-2399
(318) 212-7902
(318) 212-7905
Mailing address
2449 HOSPITAL DR, SUITE 400, BOSSIER CITY, LA 71111-2399
(318) 212-7902
(318) 212-7905
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN048894 AP01208
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529192
—
LA
Enumeration date
06/16/2006
Last updated
06/21/2021
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