Organization · Type 2 NPI
Providence Primary Care, LLC
Primary Care Nurse Practitioner · Bossier City, LA
NPI number
1386238525
Active
Practice location
1000 Chinaberry Dr Ste 1002
Bossier City, LA 71111-2463
Fax (318) 656-3761
Other practice locations
- 2120 Bert Kouns Industrial Loop Ste F, Shreveport, LA 71118-3354 · (318) 562-3911
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | None listed |
| Women's Health Nurse Practitioner | 363LW0102X | None listed |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1386238525
Providence Primary Care, LLC's National Provider Identifier is 1386238525, issued on Feb 28, 2021. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Bossier City, LA. The record was last updated on Feb 8, 2026.