Individual
CONSTANCE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9320 LINWOOD AVE, SHREVEPORT, LA 71106-7003
(318) 644-8830
Mailing address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
227081
LA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
227081
LA
Other
Enumeration date
09/26/2022
Last updated
07/03/2025
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