Individual
MR. SKIPPER K STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
14292 FLORIDA BLVD, LIVINGSTON, LA 70754
(225) 686-1114
Mailing address
PO BOX 1573, 21098 OAK ALLEY DRIVE, LIVINGSTON, LA 70754-6310
(225) 686-1244
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04734
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332615
—
LA
Enumeration date
04/26/2006
Last updated
03/17/2011
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