Individual
MARQUITTA LASHUN BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
850 OLIVE ST STE A, SHREVEPORT, LA 71104-2162
(318) 239-4860
(805) 295-4715
Mailing address
PO BOX 4506, SHREVEPORT, LA 71134-0506
(318) 239-4860
(805) 295-4715
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09301
LA
363LF0000X
Family Nurse Practitioner
AP128905
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2566971
—
LA
Enumeration date
10/28/2015
Last updated
09/14/2022
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