Barksdale, Amber Michelle

Barksdale, Amber Michelle is an individual health care provider with primary practice located at 17609 Old Jefferson Hwy Ste F , Prairieville LA 70769-3980. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Barksdale, Amber Michelle can be contacted via phone (225) 765-5500.

Contact Information

Primary practice address
17609 Old Jefferson Hwy Ste F Prairieville LA 70769-3980
Phone: (225) 765-5500
Fax: (225) 744-2992
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 08656 Louisiana

Profile Details

NPI number 1710347471
LBN Legal business name Barksdale, Amber Michelle
Credentials APRN, CPNP
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2016
Last updated Jan 11th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710347471 NPPES
Louisiana MEDICAID 2413678

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