Individual
TAYLOR BLAKE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
401 E VAUGHN AVE, RUSTON, LA 71270-5950
(318) 254-2100
(318) 255-3343
Mailing address
198 BELMONT BLVD, RUSTON, LA 71270-3564
(318) 533-9338
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
230568
LA
Other
Enumeration date
09/15/2023
Last updated
09/25/2024
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