Burnett, Vickey M

Burnett, Vickey M is an individual health care provider with primary practice located at 2449 Hospital Dr Suite 400, Bossier City LA 71111-2399. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Burnett, Vickey M can be contacted via phone (318) 212-7902.

Contact Information

Primary practice address
2449 Hospital Dr Suite 400 Bossier City LA 71111-2399
Phone: (318) 212-7902
Fax: (318) 212-7905
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN048894 AP01208 Louisiana

Profile Details

NPI number 1295770246
LBN Legal business name Burnett, Vickey M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Jun 21st, 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 1295770246 NPPES
Louisiana MEDICAID 1529192

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