Individual provider · Type 1 NPI
Charmon Bates, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Shreveport, LA
NPI number
1417712951
Active
Practice location
920 Pierremont Rd Ste 205
Shreveport, LA 71106-2093
Fax (800) 446-6048
Other practice locations
- 1681 Mount Zion Rd, Grand Cane, LA 71032-6105 · (318) 402-8201
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 248543 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1417712951
Charmon Bates, PMHNP's National Provider Identifier is 1417712951, issued on Feb 14, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Shreveport, LA. The record was last updated on Oct 14, 2026.