Individual
GABRIELLE N SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
234005
LA
363LA2100X
Acute Care Nurse Practitioner
TMP817157
NV
363LG0600X
Gerontology Nurse Practitioner
Primary
234005
LA
Other
Enumeration date
10/25/2022
Last updated
04/26/2024
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