MR. Zachary Blake Fussell, MSN, APRN, PMHNP-BC is a psychiatric/mental health nurse practitioner in Shreveport, LA with 2 years of experience. MR. Zachary Blake Fussell, MSN, APRN, PMHNP-BC NPI is 1861114407. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1220 PIERREMONT RD STE B
SHREVEPORT, LA
ZIP 71106-943
Phone: (318) 629-5036
The NPI 1861114407 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 9/12/2022 and was last updated on 9/12/2022.