Mark David Burns, FNP-C
Nurse Practitioner, Family in Ruston, LA. Individual provider (NPI-1).
NPI number1558034033
StatusActive
Last updated in NPPESNov 4, 2022
Details
- NPI
- 1558034033
- Entity type
- Individual (NPI-1)
- Name
- Mr. Mark David Burns
- Credential
- FNP-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2021
- Certification date
- Nov 4, 2022
- Last updated
- Nov 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 221221 | LA | Yes |
Practice location
411 E Vaughn Ave Ste 104Ruston, LA 71270-5975
Phone 318-254-2453
Mailing address
2512 Cedar Creek DrRuston, LA 71270-2502
Phone 859-227-9126
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All 43 Family Nurse Practitioner providers in Ruston · All 1,106 providers in Ruston
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