Felicia W Ross, LPN

Individual provider Active NPI Licensed Practical Nurse · Logansport, LA

NPI 1740922707 · NPPES record last updated Apr 11, 2022

Key facts

NPI
1740922707
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
291170 (LA)
Practice address
807 Carolina Street
Logansport, LA 71049
Phone
(318) 458-0665
NPI assigned
Apr 11, 2022
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
291170LAMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 291170 LA Yes

Addresses

Primary practice location

807 Carolina Street
Logansport, LA 71049

Mailing address

PO Box 714
Logansport, LA 71049-0714
Phone (318) 458-0665

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL Logansport Health Information Exchange (HIE)

Other providers in Logansport, LA

All providers in Logansport, LA · Licensed Practical Nurse in Louisiana

Sources for this page

Verify at the official NPI Registry.