Individual
MRS. GINA MARIE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
3311 PRESCOTT RD STE 112, ALEXANDRIA, LA 71301-3917
(318) 767-3346
Mailing address
PO BOX 846098, DALLAS, TX 75284-6098
(903) 606-6400
(903) 606-1522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP05637
LA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP05637
LA
364SA2100X
Acute Care Clinical Nurse Specialist
AP05637
LA
Other
Enumeration date
09/12/2012
Last updated
01/23/2024
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