Individual
WENDY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
3060 DUNCAN DR, SHREVEPORT, LA 71119-2302
(318) 990-2788
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200003
LA
363LF0000X
Family Nurse Practitioner
Primary
200003
LA
Other
Enumeration date
08/20/2018
Last updated
07/08/2024
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