Individual
TAYLOR KING BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
80 GARDENIA DR STE B, COVINGTON, LA 70433-9196
(985) 898-4001
Mailing address
PO BOX 54482, NEW ORLEANS, LA 70154-4482
(985) 898-4001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
224312
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
224312
STATE LICENSE
LA
Enumeration date
02/23/2022
Last updated
02/23/2022
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