PSYCHIATRIC NURSE PRACTITIONERS NPI 1043601685

NPI Information

NPI: 1043601685
Provider Name: PSYCHIATRIC NURSE PRACTITIONERS
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
1651 E 70TH ST # 382
SHREVEPORT, LA
ZIP 71105
Phone: (318) 560-5883
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PSYCHIATRIC NURSE PRACTITIONERS is a psychiatric/mental health nurse practitioner in Shreveport, LA. PSYCHIATRIC NURSE PRACTITIONERS NPI is 1043601685. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1651 E 70TH ST # 382
SHREVEPORT, LA
ZIP 71105-115
Phone: (318) 560-5883
Fax: (318) 216-3940

The provider's authorized official is Denise Knight .
The authorized official title is Credentialing Admin and has the following contact phone number (845) 551-9673.

The enumeration date for this NPI number is 2/17/2015 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	RN79944 AP3962	LOUISIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3962	OTHER	LOUISIANA	ADVANCE PRACTICE (AP) LICENSE
2	35169	OTHER	LOUISIANA	CDS
3	79944	OTHER	LOUISIANA	RN LICENSE NO.
4	30188717	OTHER		ANCC CREDENTIALING
5	1032026	MEDICAID	LOUISIANA
6	210016	OTHER	LOUISIANA	PRESCRIPTIVE AUTHORITY (PA)

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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