Organization
TAMMI HERKEY WHNP AND WILLIS-KNIGHTON MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG J. GAVIN (NETWORK ADMINISTRATOR)
(318) 212-4571
Entity
Organization
Contact information
Practice address
2300 HOSPITAL DR, SUITE 360, BOSSIER CITY, LA 71111-2394
(318) 212-7840
(318) 212-7845
Mailing address
2300 HOSPITAL DR, SUITE 360, BOSSIER CITY, LA 71111-2394
(318) 212-7840
(318) 212-7845
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN093892 AP03544
LA
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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