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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PEACOCK PRIMARY CARE, LLC

Active Organization

PEACOCK PRIMARY CARE, LLC is a Family Nurse Practitioner organization located in SHREVEPORT, Louisiana. NPI 1578333639 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · SHREVEPORT, LA

Registration Details

NPI Number
1578333639
Provider Type
Organization
NPI Issued
Jan 8, 2024 (2.5824573452613 yrs)
Last Updated
Jan 8, 2024

Practice Information

Address
426 GOLDSBERRY CIR
SHREVEPORT, LA, 711068346
Browse LA providers · Browse ZIP 71106
Phone
3185103943
Fax
8883669528
Primary Specialty
Family Nurse Practitioner
363LF0000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.