Individual
MRS. ASHLEY ELAINE ADDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2551 GREENWOOD RD STE 210, SHREVEPORT, LA 71103-3985
(318) 635-0834
(318) 636-2331
Mailing address
2551 GREENWOOD RD STE 210, SHREVEPORT, LA 71103-3985
(318) 635-0834
(318) 636-2331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
220387
LA
363LA2200X
Adult Health Nurse Practitioner
220387
LA
363LG0600X
Gerontology Nurse Practitioner
220387
LA
Other
Enumeration date
06/09/2021
Last updated
11/14/2024
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