Organization Name: | FAMILY NP HEALTHCARE, LLC |
NPI Number: | 1154605681 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JIMMIE C. ROSS (FAMILY NURSE PRACTITIONER/OWNER) |
Mailing Address: | 126 Touline St Natchitoches |
State: | LA US |
Postal Code: | 714574639 |
Phone Number: | 3182387083 |
Fax Number: | 3182387083 |
NPI Enumeration Date: | 10/03/2011 |
NPI Last Update Date: | 10/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP03788 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |