Individual
MS. ELLEN GRAPPE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1800 LINE AVE OFC 307, SHREVEPORT, LA 71101-4612
(318) 379-4488
Mailing address
1925 E 70TH ST # 52421, SHREVEPORT, LA 71105-0002
(659) 243-9091
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
211282
LA
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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