Individual
MRS. BERNICE MCCORVEY PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
7777 HENNESSY BLVD, SUITE 700, BATON ROUGE, LA 70808-4300
(225) 765-2048
(225) 765-1958
Mailing address
7777 HENNESSY BLVD, SUITE 700, BATON ROUGE, LA 70808-4300
(225) 765-2048
(225) 765-1958
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APO7491
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2359720
—
LA
Enumeration date
12/18/2013
Last updated
07/21/2014
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