Organization · Type 2 NPI
Just for Kids Wellness Clinic, LLC
Pediatric Nurse Practitioner · Bossier City, LA
NPI number
1013264720
Active
Practice location
2910 Shed Rd Ste B
Bossier City, LA 71111-3154
Fax (318) 741-5700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Nurse Practitioner Primary | 363LP0200X | None listed |
Pediatric Nurse Practitioner: Definition to come...
About NPI 1013264720
Just for Kids Wellness Clinic, LLC's National Provider Identifier is 1013264720, issued on Aug 13, 2012. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Bossier City, LA. The record was last updated on Aug 13, 2012.