| Organization Name: | JUST FOR KIDS WELLNESS CLINIC, LLC |
| NPI Number: | 1013264720 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WHITNEY MICHELLE HELMS (CO-OWNER) |
| Mailing Address: | 2910 Shed Rd Ste B Bossier City |
| State: | LA US |
| Postal Code: | 711113154 |
| Phone Number: | 3187470540 |
| Fax Number: | 3187415700 |
| NPI Enumeration Date: | 08/13/2012 |
| NPI Last Update Date: | 08/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Pediatrics |
| Taxonomy Definition: | |