Individual
DR. TRACI RICHARDS BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3341 YOUREE DR STE 20B, SHREVEPORT, LA 71105-2149
(318) 553-1168
(318) 354-4811
Mailing address
3341 YOUREE DR STE 20B, SHREVEPORT, LA 71105-2149
(318) 349-0722
(318) 335-4481
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1-070234
AL
363LF0000X
Family Nurse Practitioner
AP04593
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
246516
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP04593
LA
Other
Enumeration date
08/17/2006
Last updated
05/30/2025
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