Individual
COURTNEY BROOKE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 990-4577
Mailing address
510 E STONER AVE, SHREVEPORT, LA 71101-4243
(318) 218-7760
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
116164
LA
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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