Organization
TIMELESS HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE JO MOTON FNP (OWNER/DIRECTOR)
(318) 301-6627
Entity
Organization
Contact information
Practice address
513 WASHINGTON AVE, MANSFIELD, LA 71052-3105
(318) 301-6627
(318) 872-7048
Mailing address
513 WASHINGTON AVE, MANSFIELD, LA 71052-3105
(318) 301-6627
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/03/2023
Last updated
04/30/2024
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