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Individual

TAMMI HERKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7591 FERN AVE, SUITE 1501, SHREVEPORT, LA 71105-5750
(318) 524-8032
(318) 524-8033
Mailing address
7591 FERN AVE, SUITE 1501, SHREVEPORT, LA 71105-5750
(318) 524-8032
(318) 524-8033

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN093892 AP03544
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1567183
LA
Enumeration date
06/18/2006
Last updated
08/23/2011
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