Organization
ABUNDANCE CARE, FAMILY PRACTICE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASCHANDRIA I. BAILEY APRN (FAMILY NURSE PRACTITIONER / OWNER)
(318) 243-2411
Entity
Organization
Contact information
Practice address
105 LANCASHIRE DR, BOSSIER CITY, LA 71111-2022
(318) 243-2411
(318) 562-3309
Mailing address
PO BOX 5281, BOSSIER CITY, LA 71171-5281
(318) 243-2411
(318) 562-3309
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2404580
—
LA
Enumeration date
05/17/2017
Last updated
05/17/2017
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