Individual
NICOLE MICHELLE TOUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 GREENWOOD RD STE 311, SHREVEPORT, LA 71103-3981
(318) 212-6270
Mailing address
2551 GREENWOOD RD STE 311, SHREVEPORT, LA 71103-3981
(318) 212-6270
(318) 212-6275
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
320836
LA
Other
Enumeration date
05/16/2019
Last updated
12/13/2019
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