Individual
BRITANY HANNA BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
920 OLIVER RD, MONROE, LA 71201
(318) 807-3700
(318) 807-0014
Mailing address
130 DESIARD ST STE 355, MONROE, LA 71201-7363
(318) 807-7875
(318) 812-6603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
2891
TN
363A00000X
Physician Assistant
Primary
311747
LA
363A00000X
Physician Assistant
PA00261
MS
363A00000X
Physician Assistant
PA2015-005
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2493680
—
LA
Enumeration date
03/20/2015
Last updated
06/11/2019
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