Individual
MS. JULIA B HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
2751 ALBERT L BICKNELL DR STE 2D, SHREVEPORT, LA 71103-3939
(318) 222-6547
Mailing address
2751 ALBERT L BICKNELL DR STE 2D, SHREVEPORT, LA 71103-3939
(318) 222-6547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN110859
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN110859 AP05131
NURSING LISCENSE
LA
Enumeration date
09/06/2007
Last updated
09/18/2007
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