Individual
CARLA STEPHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4864 JACKSON ST, MONROE, LA 71202-6400
(318) 330-7000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP07394
LA
363LF0000X
Family Nurse Practitioner
AP07394
LA
Other
Enumeration date
10/15/2013
Last updated
06/29/2021
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