Healthcare Provider Details

I. General information

NPI: 1467384644
Provider Name (Legal Business Name): PREMIER NP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 RIXBY MANUEL RD
VILLE PLATTE LA
70586-2063
US

IV. Provider business mailing address

PO BOX 38
VILLE PLATTE LA
70586-0038
US

V. Phone/Fax

Practice location:
  • Phone: 337-230-8590
  • Fax:
Mailing address:
  • Phone: 337-230-8590
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JACE HOLMES
Title or Position: OWNER/MANAGER
Credential: FNP-C
Phone: 337-230-8590