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Individual

ADAM SHORTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN-CNP

Contact information

Practice address
27124 HWY 42, SPRINGFIELD, LA 70462-7979
(225) 395-8022
Mailing address
PO BOX 395, CLINTON, LA 70722-0395
(225) 683-5292
(225) 683-1310

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP202620
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AP202620
STATE LICENSE
LA
Enumeration date
01/18/2019
Last updated
01/18/2019
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