Individual
JEFFREY SCOTT NORCROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
(318) 629-4833
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
226875
LA
363LG0600X
Gerontology Nurse Practitioner
226875
LA
Other
Enumeration date
07/22/2022
Last updated
02/08/2023
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