National Provider Identifier Database

NANCY BERRY
Family


Contact Information

NANCY BERRY
8383 MILLICENT WAY
SHREVEPORT, LA71115-5207
Phone: 318-797-6661
Fax: 318-797-9897
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Family Medicine 207Q00000X

* Indicates primary specialty

NPI Profile & details for NANCY BERRY

NPI Number 1467187120
Credentials
Entity Individual
Enumeration date 07/18/2022
Last updated 12/03/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • LA License #: 226581
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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