Individual
STACEY WRIGHT EAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2300 HOSPITAL DR, STE. 450, BOSSIER CITY, LA 71111-2394
(318) 752-2328
(318) 746-0160
Mailing address
2300 HOSPITAL DR, STE. 450, BOSSIER CITY, LA 71111-2394
(318) 752-2328
(318) 746-0160
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP07073
LA
Other
Enumeration date
08/03/2012
Last updated
06/24/2021
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