Individual
MR. MARK DAVID BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
411 E VAUGHN AVE STE 104, RUSTON, LA 71270-5975
(318) 254-2453
Mailing address
2512 CEDAR CREEK DR, RUSTON, LA 71270-2502
(859) 227-9126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221221
LA
Other
Enumeration date
07/29/2021
Last updated
11/04/2022
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