Individual
MRS. SHEMECA RENAE' THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-C
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 675-5000
Mailing address
160 ROSE GARDEN ST, RUSTON, LA 71270-1462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06192490
LA
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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