Individual
NICOLE ANNALISE BARNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105-5718
(318) 212-3520
Mailing address
1666 E BERT KOUNS INDUSTRIAL LOOP STE 105, SHREVEPORT, LA 71105-5718
(318) 212-3520
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
320917
LA
Other
Enumeration date
11/01/2019
Last updated
08/28/2023
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