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Individual

STANCY TOMEKIO COLEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN, PMHNP-BC

Contact information

Practice address
6015 HEARNE AVE, SHREVEPORT, LA 71108-3803
(318) 213-0904
(318) 213-1338
Mailing address
1958 E 70TH ST STE A, SHREVEPORT, LA 71105-5339
(318) 540-7330
(318) 795-8186

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
218487
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
218487
LA

Other

Enumeration date
02/08/2021
Last updated
10/03/2025
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