Individual provider · Type 1 NPI
Zachary Blake Fussell, MSN, APRN, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Shreveport, LA
NPI number
1861114407
Active
Practice location
1220 Pierremont Rd Ste B
Shreveport, LA 71106-1943
Mailing address
6134 Lovers Ln
Shreveport, LA 71105-4830
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 202773 (LA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1861114407
Zachary Blake Fussell, MSN, APRN, PMHNP-BC's National Provider Identifier is 1861114407, issued on Sep 12, 2022. 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 Sep 12, 2022.