Individual
DONNA C LONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
2400 HOSPITAL DR, SUITE 240, BOSSIER CITY, LA 71111-2385
(318) 742-1795
(318) 741-3902
Mailing address
2400 HOSPITAL DR, SUITE 240, BOSSIER CITY, LA 71111-2385
(318) 742-1795
(318) 741-3902
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN033038 AP01156
LA
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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