Individual
LEANNA M TYLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5025 SHED RD, BOSSIER CITY, LA 71111-5434
(318) 798-4488
(318) 798-4672
Mailing address
1455 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-5634
(318) 798-4488
(318) 798-4672
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP09586
LA
Other
Enumeration date
12/11/2017
Last updated
08/06/2021
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