Individual
LIBBIE SUE STOKKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP-PMHNP, FNP
Contact information
Practice address
911 W LOOP 281 STE 300, LONGVIEW, TX 75604-2934
(903) 295-8990
(903) 295-8987
Mailing address
911 WEST LOOP 281, SUITE 300, LONGVIEW, TX 75604
(903) 295-8990
(903) 295-8987
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R26277
ND
363LF0000X
Family Nurse Practitioner
R158703-0
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP125504
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R158703-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
19805
—
ND
Enumeration date
01/05/2006
Last updated
07/18/2019
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