Individual
THOMAS DUDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1935 W JORDAN ST, SHREVEPORT, LA 71103-2916
(318) 799-2145
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
237606
LA
Other
Enumeration date
10/10/2024
Last updated
04/24/2026
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