Individual
MS. TOBBIE MICHELL GAGNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP
Contact information
Practice address
6410 MASONIC DR, ALEXANDRIA, LA 71301-2319
(318) 473-0035
Mailing address
PO BOX 732, COTTONPORT, LA 71327-0732
(318) 359-1762
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN107169
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
229511
LA
Other
Enumeration date
02/06/2023
Last updated
03/08/2023
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