Individual
MS. BETTY JONES FARMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 227-3357
Mailing address
1625 DAVID RAINES RD, SHREVEPORT, LA 71107-5899
(318) 425-2252
(318) 227-3357
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP02283
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1349062
—
LA
01
—
APO2283
LA STATE LICENSE
LA
Enumeration date
01/19/2007
Last updated
09/08/2011
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