Individual
MR. BOBBY GENE DENSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
102 W 112TH ST, CUT OFF, LA 70345-3628
(985) 632-5222
(985) 632-4222
Mailing address
102W 112TH ST, CUT OFF, LA 70345-3628
(985) 632-5222
(985) 632-4222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP01153
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1660485
—
LA
Enumeration date
07/20/2006
Last updated
02/01/2017
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