Individual
SAMANTHA WALTERS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 BERT KOUNS INDUSTRIAL LOOP STE 215, SHREVEPORT, LA 71118-3119
(318) 212-5970
(318) 212-5975
Mailing address
2510 BERT KOUNS INDUSTRIAL LOOP STE 215, SHREVEPORT, LA 71118-3119
(318) 212-5970
(318) 212-5975
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
213109
LA
Other
Enumeration date
10/09/2025
Last updated
11/07/2025
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