Healthcare Provider Details

I. General information

NPI: 1124156724
Provider Name (Legal Business Name): BOSSIER PARISH SCHOOL BOARD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 AIRLINE DR
BOSSIER CITY LA
71111-5801
US

IV. Provider business mailing address

2719 AIRLINE DR
BOSSIER CITY LA
71111-5801
US

V. Phone/Fax

Practice location:
  • Phone: 318-549-7250
  • Fax: 318-549-7251
Mailing address:
  • Phone: 318-549-7250
  • Fax: 318-549-7251

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MRS. VIRGINIA (GINGER) MARIE HUGHES
Title or Position: SCH. NURSE COORDINATOR
Credential: R.N.
Phone: 318-549-7250