Individual
MRS. LATOYA P. GIPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
8001 YOUREE DR, SUITE 600, SHREVEPORT, LA 71115-2302
(318) 212-3890
(318) 212-3888
Mailing address
8001 YOUREE DR, SUITE 600, SHREVEPORT, LA 71115-2302
(318) 212-3890
(318) 212-3888
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN106410 AP05276
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017914
—
LA
Enumeration date
09/27/2007
Last updated
11/27/2012
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