Individual provider · Type 1 NPI

Kelly Valentine Novak, F. N. P.

Family Nurse Practitioner · Shreveport, LA

NPI number 1750364428 Active

Practice location

8001 Youree Dr, Suite 880
Shreveport, LA 71115-2302

Mailing address

127 Oak Leaf Trl
Benton, LA 71006-9600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XAP04759 (LA)
Family Nurse Practitioner 363LF0000XPA 020646 (LA)

Family Nurse Practitioner: Definition to come...

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About NPI 1750364428

Kelly Valentine Novak, F. N. P.'s National Provider Identifier is 1750364428, issued on Nov 27, 2005. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Jan 10, 2014.