Individual
MR. DONALD SHANE DEBNAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1070 JONESBORO ROAD, GPI - PLANT 70 MEDICAL CENTER, WEST MONROE, LA 71292
(318) 362-2099
(318) 362-2775
Mailing address
P.O. BOX 35800, GPI - PLANT 70 MEDICAL CENTER, WEST MONROE, LA 71294-5800
(318) 362-2099
(318) 362-2775
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN084552-AP04146
LA
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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