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Individual

JON C BARNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
8660 FERN AVE STE 105, SHREVEPORT, LA 71105-5657
(318) 797-0009
(318) 797-0092
Mailing address
8660 FERN AVE STE 105, SHREVEPORT, LA 71105-5657
(318) 797-0009
(318) 797-0092

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN073142
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1131831
LA
Enumeration date
06/09/2005
Last updated
10/13/2021
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