Mrs. DIANNA ELIZABETH FORT
Individual Provider (NPI-1)
Active
Registered Nurse, Hospice
Provider Information
- NPI Number
1487365599- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 246 ATLANTIC AVE, SHREVEPORT, LA, 711053027
- Phone
- (318) 294-6337
Specialties & Taxonomies
Registered Nurse, Hospice
Primary License: LA #RN158038