Individual
CHARLES MERCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
2108 TEXAS AVE STE 3080, ALEXANDRIA, LA 71301
(318) 422-5758
Mailing address
2108 TEXAS AVE STE 3080, ALEXANDRIA, LA 71301-3903
(318) 422-5758
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP07190
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2350498
—
LA
01
—
PA021629
PRESCRIPTIVE AUTHORITY ID NUMBER
LA
Enumeration date
03/25/2013
Last updated
08/18/2022
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