John Charles Charity in Shreveport - Nurse Practitioner
John Charles Charity - NPI 1134149859
John Charles Charity is a Nurse Practitioner in Shreveport, Louisiana. John Charles Charity practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for John Charles Charity is 1134149859. The last update date is 2013-09-20.
John Charles Charity's current location address is 503 Broadmoor Blvd, Shreveport, Louisiana. You can contact this provider via phone number 3188687537 and fax number 3188687537. The mailing address for John Charles Charity is 503 Broadmoor Blvd, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Charles Charity |
|---|---|
| Address | 503 Broadmoor Blvd, Shreveport, Louisiana |
| Phone Number | 3188687537 |
| Fax Number | 3188687537 |
| Sole Proprietor | N |
| Credentials | NP-BC |
NPI Number Detail
| NPI Number | 1134149859 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2013-09-20 |
Provider Mailing Address Detail
| Address | 503 Broadmoor Blvd |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711052023 |
| Phone Number | 3188687537 |
| Fax Number | 3188687537 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | RN071365 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1545201 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to John Charles Charity by the Centers for Medicare & Medicaid Services (CMS)?
The John Charles Charity has been assigned the NPI (National Provider Identifier) 1134149859. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where John Charles Charity is located?
The John Charles Charity is situated at the following address: 503 Broadmoor Blvd, Shreveport, LA, 711052023.
What is the John Charles Charity's specialty and taxonomy code?
The John Charles Charity's specialty is Nurse Practitioner, and the corresponding taxonomy code is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1134149859 to John Charles Charity?
The Centers for Medicare & Medicaid Services originally issued the 1134149859 to John Charles Charity on 2006-07-19.
As of what date were the details related to John Charles Charity most recently updated or revised?
The information pertaining to John Charles Charity, including its address, specialty, and other relevant details, was last updated or revised on 2013-09-20.