Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | RN073400 | LA |
NPI | 1003808569 |
---|---|
Provider Name | James E Harper |
First Address | Shreveport, LA 71101 |
Second Address | Shreveport, LA 71101 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/08/2005 |
Last Update Date | 02/01/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
589413 | (02) | LA |