Individual
MRS. STACY COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 DOLHONDE ST, GRETNA, LA 70053-5801
(504) 374-7753
Mailing address
1720 WINDWARD CONCOURSE STE 300, ALPHARETTA, GA 30005-1727
(770) 692-4767
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
221138
LA
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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