Collette G Brown, NP-C
Nurse Practitioner, Adult Health in Bossier City, LA. Individual provider (NPI-1).
NPI number1003427899
StatusActive
Last updated in NPPESAug 14, 2020
Details
- NPI
- 1003427899
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Collette G Brown
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- Aug 14, 2020
- Last updated
- Aug 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 213785 | LA | Yes |
| 363LG0600X | Nurse Practitioner, Gerontology | 213785 | LA |
Practice location
2449 Hospital Dr Ste 400Bossier City, LA 71111-1914
Phone 318-212-7902 · Fax 318-212-7905
Mailing address
913 Lazywood LnShreveport, LA 71108-5911
Phone 318-423-2538
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