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Contact Information

NANCY BERRY
8383 MILLICENT WAY
SHREVEPORT, LA71115-5207
 Phone: 318-797-6661
 Fax: 318-797-9897
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for NANCY BERRY · (Female)

NPI # 1467187120
Status Active
Credentials
Entity Individual
Enumeration date 07/18/2022
Last updated 12/03/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • LA License # 226581
Hospital affiliation(s) Not Available
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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