Individual
STEPHANIE EVETTE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
(318) 754-7914
Mailing address
3341 YOUREE DR, SHREVEPORT, LA 71105-2149
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
205153
LA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
205153
LA
Other
Enumeration date
03/25/2022
Last updated
12/30/2022
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