WELLNESS CENTER FOR SKIN THERAPY LLC NPI 1053705574

NPI Information

WELLNESS CENTER FOR SKIN THERAPY LLC is a family nurse practitioner in Shreveport, LA. WELLNESS CENTER FOR SKIN THERAPY LLC NPI is 1053705574. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2751 ALBERT L BICKNELL DR
SUITE 1A
SHREVEPORT, LA
ZIP 71103-920
Phone: (318) 221-2821

The provider's authorized official is Jennifer Burns Norwood .
The authorized official title is Owner and has the following contact phone number (318) 636-9905.

The enumeration date for this NPI number is 3/23/2015 and was last updated on 3/23/2015.

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:

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