Individual
MRS. KISSLEY BOOKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
11764 HAYMARKET AVE, BATON ROUGE, LA 70816-6009
(225) 256-5200
Mailing address
20051 OLD SCENIC HWY, APT 1805, ZACHARY, LA 70791-7369
(225) 306-5737
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP08729
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2433792
—
LA
01
—
540405ZSC1
MEDICARE
LA
Enumeration date
03/11/2016
Last updated
08/04/2023
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