Individual
PATRICE WARE KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2400 HOSPITAL DR STE 340, BOSSIER CITY, LA 71111-2387
(318) 747-2277
(318) 747-2217
Mailing address
2400 HOSPITAL DR STE 340, BOSSIER CITY, LA 71111-2387
(318) 747-2277
(318) 747-2217
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
204304
LA
Other
Enumeration date
04/03/2019
Last updated
06/17/2021
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