Southern University Student Health Center

NPI #1124174545 in Baton Rouge, Louisiana

Provider Information

NPI Number
1124174545
Entity Type
Organization
Organization Name
Southern University Student Health Center
Primary Specialty
Nurse Practitioner
Enumeration Date
Jan 26, 2007
Last Updated
Aug 12, 2008

Practice Location

Address
170 SWAN ST
ZIP Code
70813-0001
Phone
(225) 771-3324

Authorized Official

Name
MRS. TERRICKA V FIELDS
Title
OFFICE MANAGER
Phone
(225) 771-4770

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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