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NPI Code Detail

MEDICARE: MRS. DEBORAH LOUIS BANKS NURSE PRACTITIONER

MEDICARE: MRS. DEBORAH LOUIS BANKS NURSE PRACTITIONER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP09003LA

General Provider Information

NPI Number : 1376095398
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEBORAH LOUIS BANKS NURSE PRACTITIONER
Provider Business Mailing Address
First Line : 205 N TANGLEWOOD DR
Second Line :
City : MINDEN
State : LA
Zip : 71055-5632
Country : US
Telephone Number : 318-377-1722
Fax Number :
Provider Business Practice Location Address
First Line : 9129 MANSFIELD RD
Second Line :
City : SHREVEPORT
State : LA
Zip : 71118-3122
Country : US
Telephone Number : 318-469-3794
Fax Number : 318-900-7860
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2016
Last Update Date : 03/22/2026

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