Individual
DALLAS DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
501 S PINE ST, DERIDDER, LA 70634-4939
(337) 463-9890
(337) 462-9521
Mailing address
PO BOX 730, DERIDDER, LA 70634-0730
(337) 463-9890
(337) 462-9521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201624
LA
Other
Enumeration date
07/14/2025
Last updated
07/16/2025
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