Organization
LIL SPROUTS PEDIATRICS & FAMILY CLINIC LLC
Active
Other names
Sprouts Family & Pediatric Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOANIE LYNN GRAVES APRN (OWNER)
(318) 310-5840
Entity
Organization
Contact information
Practice address
206 BELL LANE, STE C & D, WEST MONROE, LA 71291-1348
(318) 310-5840
Mailing address
206 BELL LN STE C&D, WEST MONROE, LA 71291-6300
(318) 310-5840
(318) 858-7410
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0200X
Pediatric Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2925440
—
LA
Enumeration date
02/05/2017
Last updated
04/22/2026
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