Individual
MRS. TINA MARIE BILLBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1587 N BOLTON AVE STE 1100, ALEXANDRIA, LA 71303-4255
(318) 445-9823
Mailing address
321 W SHORE DR, ALEXANDRIA, LA 71303-7007
(318) 312-0392
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211645
LA
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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