Individual
MRS. TAMMY TERESA STEWART-DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNPC
Contact information
Practice address
2803 EVANGELINE ST, MONROE, LA 71201-3749
(318) 325-0325
(318) 326-0316
Mailing address
2803 EVANGELINE, MONROE, LA 71201
(318) 820-4065
(318) 325-0316
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04140
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1141283
—
LA
Enumeration date
08/31/2006
Last updated
11/10/2011
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