Organization
QUALITY CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY LYNN BRUNSON FNP (FAMILY NURSE PRACTITIONER)
(318) 259-1511
Entity
Organization
Contact information
Practice address
103 WATTS ST, JONESBORO, LA 71251-2053
(318) 259-1511
(318) 259-9979
Mailing address
103 WATTS ST, JONESBORO, LA 71251-2053
(318) 259-1511
(318) 259-9979
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP05919
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1054453
—
LA
05
—
1807192
—
LA
Enumeration date
09/20/2011
Last updated
09/20/2011
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