Organization
ESSENTIAL HEALTH CARE FAMILY PRACTICE
Active
Other names
Essential Health Care Family Practic
Organization subpart
No
Provider details
NPI number
Authorized official
SIMONE S HODGES FNP-BC (MANAGER/OWNER)
(122) 593-9854
Entity
Organization
Contact information
Practice address
3265 JERSEY DR, ZACHARY, LA 70791-4205
(225) 939-8543
Mailing address
3265 JERSEY DR, ZACHARY, LA 70791-4205
(225) 939-8543
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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