Individual
MRS. SARA MICHELLE BANKSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6300 MAIN ST, ZACHARY, LA 70791-4037
(225) 658-4000
Mailing address
18049 KEYSTONE AVE, GREENWELL SPRINGS, LA 70739-4415
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
229507
LA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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