Individual
SAVANNAH FORTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
340 N HOOD ST, LAKE PROVIDENCE, LA 71254-2140
(318) 559-2404
Mailing address
340 N HOOD ST, LAKE PROVIDENCE, LA 71254-2140
(318) 559-2404
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205753
LA
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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