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

MR. ZACHARY BLAKE FUSSELL, MSN, APRN, PMHNP-BC

Active Sole Proprietor

MR. ZACHARY BLAKE FUSSELL, MSN, APRN, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in SHREVEPORT, Louisiana. NPI 1861114407 is currently active in the NPPES registry. Verify at CMS.

Psychiatric/Mental Health Nurse Practitioner · SHREVEPORT, LA

Registration Details

NPI Number
1861114407
Provider Type
Individual
Gender
Male
NPI Issued
Sep 12, 2022 (3.8991144964057 yrs)
Last Updated
Sep 12, 2022
License
202773 (LA)
Sole Proprietor
Yes

Practice Information

Address
1220 PIERREMONT RD STE B
SHREVEPORT, LA, 711061943
Browse LA providers · Browse ZIP 71106
Phone
3186295036

Other Psychiatric/Mental Health Nurse Practitioner Providers in SHREVEPORT, LA

Name Credential NPI
MS. KELLY A YERGER NP 1285661181
MS. ROSALINE MICHELLE DARTY AP NP 1164430526
DR. TRACI RICHARDS BURKS NURSE PRACTITIONER 1528171899
MS. GRETA ANITA MCCORMICK MSN, APRN, PMHNP-BC 1215102462
SHANNON L MCTIRE NP 1942438411
MS. BRANDI E BROOKS APN 1104056126
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.