Individual
MR. JEFFREY SPORER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1585 3RD ST BLDG 285, FORT POLK, LA 71459
(337) 531-3660
Mailing address
1585 3RD ST BLDG 285, FORT POLK, LA 71459-5102
(337) 531-3660
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130650
TX
Other
Enumeration date
04/13/2007
Last updated
07/18/2022
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