Organization
DSD HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHRIEKA TAREASE EVANS NP-C (CEO)
(318) 243-0436
Entity
Organization
Contact information
Practice address
210 HIGHWAY 167 N, BERNICE, LA 71222-5117
(318) 243-0436
Mailing address
2505 CYPRESS SPRINGS AVE, RUSTON, LA 71270-5109
(318) 243-0436
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
12/16/2020
Last updated
03/17/2022
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