Individual
NANCY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 797-9897
Mailing address
8383 MILLICENT WAY, SHREVEPORT, LA 71115-5207
(318) 797-6661
(318) 797-9897
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
226581
LA
363LF0000X
Family Nurse Practitioner
Primary
226581
LA
Other
Enumeration date
07/18/2022
Last updated
12/03/2024
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