Provider Demographics
NPI:1073627428
Name:MYERS, DEBRA JONES (RN, BSN, CNOR, RNFA)
Entity Type:Individual
Prefix:MRS
First Name:DEBRA
Middle Name:JONES
Last Name:MYERS
Suffix:
Gender:F
Credentials:RN, BSN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2524 SPRUCE DR
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-5133
Mailing Address - Country:US
Mailing Address - Phone:318-294-1804
Mailing Address - Fax:318-797-7608
Practice Address - Street 1:8001 YOUREE DR
Practice Address - Street 2:SUITE 550
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71115-2302
Practice Address - Country:US
Practice Address - Phone:318-797-5543
Practice Address - Fax:318-797-7608
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN097814163WN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WN0800XNursing Service ProvidersRegistered NurseNeuroscience